OCAD MSK

History

15yo boy bilateral painless swelling x a few years

Figure 1 for case pachydermodactyly
Figure 1
Figure 2 for case pachydermodactyly
Figure 2
Figure 3 for case pachydermodactyly
Figure 3

Discussion

This is benign finger swelling in teenagers, associated with behaviors such as hand wringing. Skin thickening is common. Can regress. Fibrous on histology. Approx 150 cases reported Reference article.

Diagnosis

pachydermodactyly

Douglas Mintz, MD
Courtesy