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Inicio Medicina Clínica Práctica Paroxysmal finger haematoma: A case of Achenbach's syndrome
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Vol. 3. Núm. 4 - 5.
(Julio - Octubre 2020)
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Vol. 3. Núm. 4 - 5.
(Julio - Octubre 2020)
Images in medicine
DOI: 10.1016/j.mcpsp.2020.100112
Open Access
Paroxysmal finger haematoma: A case of Achenbach's syndrome
Hematoma paroxístico de dedo: un caso de síndrome de Achenbach
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Andreia Cinara Branco Diegues
Autor para correspondencia
andreiadiegues@gmail.com

Corresponding author.
, Rita Silva, Ana Rita Lopes, Ana Sofia Alves, Elisa Tomé, Filipa Rodrigues
Unidade Local de Saúde do Nordeste, Bragança, Portugal
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A 38-year-old woman presented with sudden bruising and pain in her finger, 60minutes after a burning sensation and discomfort. She had had similar episode 6 months earlier in the middle finger, which had resolved spontaneously in 5 days. She didn’t identified any particular triggers, no history of trauma or consume of anticoagulants. She had a medical history of migraine and she was a non smoker. On examination, the 4th right finger had a ecchymotic discoloration and swelling about the volar aspect (Fig. 1), with moderate pain to palpation, without sensibility or mobility alteration and with normal capillary refill. Laboratory tests did not show thrombocyte abnormalities or coagulopathy. Doppler ultrasonography showed normal flow. An Achenbach's syndrome, a rare clinical condition which causes paroxysmal spontaneous subcutaneous bleeding in the fingers, was diagnosed. The cause remains unknown and recurrence rate is variable. It doesn’t require an admission or investigations, since the diagnosis is made on the basis of clinical presentation. Laboratory tests and Doppler are normal, but they are helpful in the differential diagnosis. This syndrome is self-limiting and resolved in one week without treatment.

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Copyright © 2020. The Authors
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