Finger hematoma paroxysmal R23.3
Synonym(s)
Achenbach Syndrome; Fingerapoplexy; Hand hematoma paroxysmal; Hemorrhagia douloureuse du doigt; Hémorrhagie douloureuse du doigt; Paroxysmal finger hematoma; Paroxysmal hand hematoma
History This section has been translated automatically.
Achenbach, 1958
Definition This 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.
Etiopathogenesis This 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.
Manifestation This section has been translated automatically.
Especially women over 30.
Localization This section has been translated automatically.
Fingers (especially on the volar side), rarely toes, palm.
Clinic This 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.
Therapy This section has been translated automatically.
Not necessary, possibly cooling, regression due to absorption within a few days.
Progression/forecast This 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.
Literature This 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