metricas
covid
Buscar en
Medicina Clínica Práctica
Toda la web
Inicio Medicina Clínica Práctica Achenbach's syndrome
Información de la revista
Vol. 5. Núm. 4.
(octubre - diciembre 2022)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Visitas
737
Vol. 5. Núm. 4.
(octubre - diciembre 2022)
Images in medicine
Open Access
Achenbach's syndrome
Síndrome de Achenbach
Visitas
737
Anabela Salgueiro Marques
Autor para correspondencia
anabela.marques@jmellosaude.pt

Corresponding author at: CUF Descobertas Hospital, Rua Mário Botas, 1998-018 Lisboa, Portugal.
Internal Medicine Graduated Specialist, CUF Descobertas Hospital, Portugal
Este artículo ha recibido

Under a Creative Commons license
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (1)
Texto completo

A 60-year-old woman, with unremarkable medical history, presented in our emergency department with sudden appearance of painful bruise of her right-hand middle-finger. She denied previous similar episodes, preceding stress or trauma situation, cold exposure, or medication.

Middle-finger was swollen, with bruises on both surfaces (yellow-arrows) (fig. 1), was warm and well-perfused, with normal radial-pulse.

Fig. 1
(0,2MB).

Laboratory-tests, radiography and Doppler-ultrasonography were normal. It resolved within 4-days, with no treatment.

Based on clinical presentation, normal exams, and benign course we diagnosed Achenbach’s syndrome, also called paroxysmal finger hematoma or acute idiopathic blue finger.

Of unknown etiology, supposedly is a vascular disorder; triggered by increased local micro-vascular fragility, related to advanced age or minor trauma, originating bruising, mainly with acute pain or burning sensation, sometimes movement limitation and can affects one or more fingers of hands or feet.

With low prevalence, recently noticed familial tendency, observed mostly in middle-aged women, with spontaneously improvement after a few days, without sequelae, but recurrent episodes are usual.

Achenbach’s syndrome is mainly an exclusion diagnosis, so efforts should be done to rule out other conditions as trauma, Raynaud-phenomenon, acute ischemia, Buerger’s disease, acrocyanosis, vasculitis, Psychogenic-purpura. Associations with diseases such as gastrointestinal disorders, migraine, goiter, and neoplasms have also been noted.

Conflicts of Interest

The authors declare that there is no conflict of interest in this work.

Funding Sources

The authors declare that there were no external sources of study for the performance of this article.

Right to privacy and informed consent

The authors declare that no data that allows identification of the patient appears in this article.

Copyright © 2022. The Author(s)
Opciones de artículo
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

Quizás le interese:
10.1016/j.mcpsp.2021.100280
No mostrar más