Finger hematoma paroxysmalR23.3
Synonym(s)
Achenbach Syndrome; Fingerapoplexy; Hand hematoma paroxysmal; Hemorrhagia douloureuse du doigt; Hémorrhagie douloureuse du doigt; Paroxysmal finger hematoma; Paroxysmal hand hematoma
HistoryThis section has been translated automatically.
Achenbach, 1958
DefinitionThis section has been translated automatically.
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.
EtiopathogenesisThis section has been translated automatically.
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.
ManifestationThis section has been translated automatically.
Especially women over 30.
LocalizationThis section has been translated automatically.
Fingers (especially on the volar side), rarely toes, palm.
Clinical featuresThis section has been translated automatically.
Sudden shooting, stabbing pain in one or more fingers. Increasing swelling. 15-60 minutes later hematoma formation, possibly full digitus mortuus through compression.
TherapyThis section has been translated automatically.
Not necessary, possibly cooling, regression due to absorption within a few days.
Progression/forecastThis section has been translated automatically.
Regression due to resorption within 1-2 weeks.
Note(s)This section has been translated automatically.
Analogue of the more familiar conjunctival hemorrhage.
LiteratureThis section has been translated automatically.
- Achenbach W (1958) The paroxysmal hand hematoma. Med Clinic 53: 2138-2140
- Robertson A et al (2002) Paroxysmal finger haematomas (Achenbach's syndrome) with angiographic abnormalities. J Hand Surgery 27: 391-393
- Stieler W et al (1990) Paroxysmal finger hematoma (Achenbach syndrome). Dermatologist 41: 270-271