Pachydermodactyly: A Case Report of a Little-Known and Benign Form of Digital Fibromatosis

Liew, Amanda Ling Fung; Ting, Yonghan

doi:10.12659/ajcr.923344

Cited by 4 publications

(9 citation statements)

References 11 publications

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“…Bullous impetigo is caused by Staphylococcus aureus exfoliative toxins targeting epidermal desmoglein 1, resulting in separation of the skin within the superficial epidermis. 1,2 This presents clinically as small clusters of yellow, fluidfilled vesicles that become 1-to 2-cm flaccid bullae. Later lesions present as large, eroded plaques with a yellow-brown crust and a collarette of scale.…”

Section: Blistering Rash In An Adolescentmentioning

confidence: 99%

“…A clinical diagnosis of pachydermodactyly was made.Pachydermodactyly is a benign fibromatosis characterized by asymptomatic, progressive, fusiform swelling over the dorsal and lateral aspects of proximal interphalangeal joints with no loss of joint function. 1,2 It typically affects the second through fourth digits bilaterally. 1 The male to female ratio is approximately 4:1 with a median age of onset of 16 years.…”

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confidence: 99%

“…1,2 It typically affects the second through fourth digits bilaterally. 1 The male to female ratio is approximately 4:1 with a median age of onset of 16 years. 2The author declares no conflicts of interest.…”

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confidence: 99%

“…Presumably, pachydermodactyly results from excessive and repetitive mechanical irritation or stimulation of the periarticular skin with resultant thickening of the periarticular tissue giving the fingers a fusiform appearance. 1,2 Pruritus is a precipitating factor. Pachydermodactyly has been associated with athletic and occupational activities, excessive computer keyboard use, and obsessive-compulsive disorder.…”

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confidence: 99%

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Pachydermodactyly

Leung

Lam

2021

The Journal of Pediatrics

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A n otherwise healthy 17-year-old boy presented with a 5-year history of asymptomatic progressive swelling involving multiple fingers of both hands. There was no history of pruritus. Physical examination revealed nontender fusiform swelling of the soft tissue over the dorsal, medial, and lateral aspects of the proximal interphalangeal joints of the fingers (except the thumbs) bilaterally (Figures 1 and 2). The range of motion of the fingers was unaffected. A clinical diagnosis of pachydermodactyly was made.Pachydermodactyly is a benign fibromatosis characterized by asymptomatic, progressive, fusiform swelling over the dorsal and lateral aspects of proximal interphalangeal joints with no loss of joint function. 1,2 It typically affects the second through fourth digits bilaterally. 1 The male to female ratio is approximately 4:1 with a median age of onset of 16 years. 2The author declares no conflicts of interest.

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Section: Blistering Rash In An Adolescentmentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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Pachydermodactyly

Leung

Lam

2021

The Journal of Pediatrics

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“…Garrod's pads tend to be focal and affect the extensor and dorsal surfaces of the fingers and hands rather than the radial and ulnar parts. Some authors classify them as variants of pachydermodactyly [12].…”

Section: Garrod's Padsmentioning

confidence: 99%

Musicians’ medicine – potential health problems among violinists and violists caused by playing the string instrument – the review of the literature

Ręka

Machowiec²,

Maksymowicz³

et al. 2021

J Educ Health Sport

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Introduction and purpose Musicians' medicine has received increasing attention recently. It is known that listening to music or playing an instrument has beneficial effects on cognitive and neural functions. Playing the string instrument demands repetitive precise movements of fingers and arms in a non-ergonomic posture that might give rise to health problems. The study aims to present the current state of knowledge regarding different potential health problems among violinists and violists. The article reviews the 24 newest scientific publications available on PubMed and Google Scholar. A brief description of the state of knowledge The literature review indicated several potential health consequences of excessive playing the violin or viola, as follows: Fiddler's neck and skin allergy, Garrod’s pads, temporomandibular disorders, carpal tunnel syndrome, cubital tunnel syndrome, tennis elbow, compression of the right ulnar nerve in the ulnar (Guyon's) canal, rotator cuff tendonitis, tenosynovitis, bursitis, focal dystonia, thoracic outlet syndrome, bone asymmetry, pain in the neck, cheeks, fingers, wrist, forearm, shoulder, waist, and the back. Conclusions Musicians should be aware of potential health problems that occur during prolonged playing the violin or the viola. An important issue is maintaining the accurate proportions between the amount of time spent playing the instrument and resting. The first signs of neurological or musculoskeletal changes should prompt the musician to seek professional medical help to prevent the disorder's progression.

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Pachydermodactyly: bilateral proximal interphalangeal joint swelling in an adolescent musician

Shahenyan

Harutyunyan

Nersisyan³

et al. 2022

BMJ Case Rep

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An otherwise healthy young man was referred to the rheumatologist because of bilateral proximal interphalangeal (PIP) joint enlargements. The main concern was excluding the presence of inflammatory arthritis. Physical examination revealed bilateral PIP finger joints (II-IV) swellings and cutaneous thickenings in adjacent areas. The specificity of this case was the patient who appeared in the physician’s room with his violin suitcase pointing to his profession even from the first site. Complete blood count with leucocyte differentials appeared without changes. Radiographics failed to show joint fluid or bony changes. All immunological markers (RF, anti-cyclic citrullinated peptide) and laboratory data (Erythrocyte sedimentation rate, C-reactive protein, etc) were within the reference ranges or negative. After exclusion of rheumatoid and other inflammatory arthritis, and considering the occupation of the patient and demographics the diagnosis of a rare condition–pachydermodactyly was made.

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Pachydermodactyly: A Case Report of a Little-Known and Benign Form of Digital Fibromatosis

Cited by 4 publications

References 11 publications

Pachydermodactyly

Pachydermodactyly

Musicians’ medicine – potential health problems among violinists and violists caused by playing the string instrument – the review of the literature

Pachydermodactyly: bilateral proximal interphalangeal joint swelling in an adolescent musician

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