Abstract

PEREZ ABDALA, Juan Ignacio et al. Dedo azul agudo idiopático no isquémico: síndrome de Achenbach. Presentación de un caso y revisión bibliográfica. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.5, pp.645-650. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.5.1182.

Achenbach’s Syndrome (AS) is a pathology with low incidence and its etiology is unknown. It is characterized by the acute appearance of blue coloration in the finger without a triggering event and might be confused with an ischemic event. However, AS is a self-limited disease without sequelae. This case report is about a 75-year-old woman who presented sudden onset pain and purple coloration in the index finger of her right hand. Diagnostic tests were unhelpful and did not provide relevant information. She received symptomatic treatment, achieving complete resolution. The anamnesis and an exhaustive physical examination play a primary role in the suspicion; leaving diagnostic tests for the exclusion of other pathologies when they are required. We believe that knowing about this pathology allows a correct approach leading to an appropriate diagnosis.

Keywords : Achenbach’s syndrome; digital bruising; blue finger; paroxysmal haemorrhage.

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