Finger hematoma paroxysmal R23.3

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 18.09.2022

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Synonym(s)

Achenbach Syndrome; Fingerapoplexy; Hand hematoma paroxysmal; Hemorrhagia douloureuse du doigt; Hémorrhagie douloureuse du doigt; Paroxysmal finger hematoma; Paroxysmal hand hematoma

History
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Achenbach, 1958

Definition
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Deep hematoma occurring spontaneously or after minor trauma on the volar side of individual fingers or the hand. It is a harmless disorder, but usually very distressing for those affected.

Etiopathogenesis
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Venous rupture, probably vascular fragility, allergic-hyperergic vascular wall damage or neurovegetative disorders Possible minus variant of Raynaud's. Triggered e.g. by carrying shopping bags, typing.

Manifestation
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Especially women over 30.

Localization
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Fingers (especially on the volar side), rarely toes, palm.

Clinical features
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Sudden shooting, stabbing pain in one or more fingers. Increasing swelling. 15-60 minutes later hematoma formation, possibly full digitus mortuus through compression.

Therapy
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Not necessary, possibly cooling, regression due to absorption within a few days.

Progression/forecast
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Regression due to resorption within 1-2 weeks.

Note(s)
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Analogue of the more familiar conjunctival hemorrhage.

Literature
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  1. Achenbach W (1958) The paroxysmal hand hematoma. Med Clinic 53: 2138-2140
  2. Robertson A et al (2002) Paroxysmal finger haematomas (Achenbach's syndrome) with angiographic abnormalities. J Hand Surgery 27: 391-393
  3. Stieler W et al (1990) Paroxysmal finger hematoma (Achenbach syndrome). Dermatologist 41: 270-271

Outgoing links (2)

Digitus mortuus; Raynaud's disease;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 18.09.2022