Abstract

GODOY, A  and  TABARES, AH. Paroxysmal finger haematoma (Achenbach syndrome). Rev. argent. dermatol. [online]. 2019, vol.100, n.4, pp.111-120. ISSN 1851-300X.

Paroxysmal finger hematoma refers to patients suffering from episodic pain and swelling in one or more digits with subsequent appearance of a hematoma in the palmar aspect of the proximal phalanges.

Paroxysmal finger hematoma is a rare and benign condition of unknown etiology. Prodromal symptoms such as pain, tingling and itching may occur from minutes to hours before the color change appears. Subdermal bleeding usually stops spontaneously or after local pressure is applied, and changes in coloration usually disappear.

The diagnosis is strictly based on the clinical features since all routine investigations are usually normal.

The course of this condition is benign and the symptoms resolve without permanent sequelae.

Doctors should become aware of this condition to advise their patients about the prognosis and to avoid the request of unnecessary additional studies.

Keywords : syndrome; paroxysmal finger haematomas, vascular damage, purple digits, acute pain.

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