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Thick Skin of Finger Joints. Pachydermodactyly. Minireview.


Authors: A. Engelmann;  N. Kunešová;  J. Štork
Authors‘ workplace: Dermatovenerologická klinika 1. LF UK a VFN, přednosta doc. MUDr. Ondřej Kodet, Ph. D.
Published in: Čes-slov Derm, 99, 2024, No. 5, p. 210-212
Category:

Overview

Pachydermodactyly (PDD) is a rare, benign dermatosis characterized by asymptomatic, progressive swelling of the periarticular soft tissue mainly of the lateral parts of the second through fourth PIP joints. The thumb is usually spared. The periarticular tissue of the toes is never affected. It mainly affects young men, most often adolescents, with a male : female ratio of

3.9 : 1. Swelling of the PIP joints develops asymptomatically for several years with subsequent stabilization of the condition. Correct diagnosis of PDD prevents unnecessary examination of the patient and inappropriately chosen often immunosuppressive treatment. The authors present the case of a 21year-old man with non-progressive infliction lasting 6 years, its differential diagnosis and a review of the current literature.

Keywords:

pachydermodactyly – histopathology – differential diagnosis – proximal interphalangeal joint – painless swelling


Sources
  1. BARNES, L. A., BAE, G. H., LEWIS, M. A., RIEGER, K. E. Pachydermodactyly: Case report including clinical and histopathologic diagnostic pitfalls. J Cutan Pathol., 2018, 45(12), p. 949-953.
  2. DALLOS, T., OPPL, B., KOVÁCS, L., ZWERINA, J. Pachydermodactyly: a review. Curr Rheumatol Rep., 2014, 16(9), p. 442.
  3. JADIDI, J., SIGARI, M., EFENDIZADE, A., GRIGORIAN, A., LEHTO, S. A., KOLLA, S. Thyroid acropachy: A rare skeletal manifestation of autoimmune thyroid disease. Radiol Case Rep., 2019, 14(8), p. 917-919.
  4. PARAVINA, M., STANOJEVIĆ, M., JOVANOVIĆ, D., LJUBISAVLJEVIĆ, D. Pachydermodactyly: a case report and literature review. Serbian J Dermatol Venereol., 2014, 6, p. 174–85.

Do redakce došlo 21. 10. 2024.

Adresa pro korespondenci:
MUDr. Anna Engelmann
Dermatovenerologická klinika 1. LF UK a VFN
U Nemocnice 499/2 128 00 Praha 2
e-mail:
Anna.Engelmann@vfn.cz

Labels
Dermatology & STDs Paediatric dermatology & STDs
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