Clinical case of pachydermodactyly in an adolescent
- Authors: Rodin A.U.1,2
-
Affiliations:
- Volgograd State Medical University
- Regional Clinical Hospital № 1
- Issue: Vol 29, No 9 (2022)
- Pages: 97-99
- Section: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/321073
- DOI: https://doi.org/10.18565/pharmateca.2022.9.97-99
- ID: 321073
Cite item
Open Access
Access granted
Abstract
Background. Pachydermodactyly is a very rare interdisciplinary pathology of the soft tissues of the phalanges of the hands without subjective sensations, which occurs in adolescence, possibly associated with mechanical irritation of the periarticular tissues against the background of obsessive or habitual movements with rubbing the skin or the habit of locking the hands together. At the same time, neither bone nor articular pathology is detected. Differential diagnosis with juvenile idiopathic arthritis is required. Description of the clinical case. A clinical case of pachydermodactyly in a 16-year-old adolescent is presented. Against the background of therapy with sodium thiosulfate, rectal suppositories with longidase, electrophoresis with hydrocortisone, vitamin E, and topical steroids a slight positive clinical effect was noted. Conclusion. In our opinion, the described observation is of interest to clinicians due to the extreme rarity of this nosological form, and also as an interdisciplinary problem (dermatology-rheumatology-pediatrics-orthopedics).
Full Text
About the authors
Alexey U. Rodin
Volgograd State Medical University; Regional Clinical Hospital № 1
Email: dermavolgmu@yandex.ru
Department of Dermatovenereology; Dr. Sci. (Med.), Professor Volgograd, Russia
References
- Verbov J. Pachydermodactyly. A variant of the true knuckle pad. Arch Dermatol. 1975;11:524.
- Sauvain M.J., Saudan Y, Inaebnit D., et al. Pachydermodactyly A special form of fibromatosis? Clin Exp Rheumatol. 1995;13:543.
- Kim T.H., Cho Y.H., Park H.B. Two cases of pachydermodactyiy J Dermatol. 1996;23(6):419 doi: 10.1111/j.1346-8138.1996.tb04045.x.
- Kopera D., Soyer H.P, Kerl H. An update on pachydermodactyly and a report of three additional cases. Br J Dermatol. 1995;133:433-37. doi: 10.1111/j.1365-2133.1995.tb02673.x.
- Reichert C.M., Costa J., Barsky S.H., et al. Pachydermodactyly. ClinOrtopaed Rel Res. 1985;194:253-257.
- Чикова И.А., Костик М.М., Синельникова Е.В. и др. Пахидермодактилия в практике ревматолога. Научно-практическая ревматология. 2015;53(3):319-322.
- Requena C.B., Miot H.A., Marques M.E., Miot L.D. Case for diagnosis Pachydermodactyly. An Bras Dermatol. 2014;89(2):359-60. doi: 10.1590/abd1806-4841.20142689.
- Higuchi C.T Tomita, H. Yoshikawa. Pachydermodactyly treated with tranilast in a young girl. Case Rep Orthop. 2014;2014:132854. doi: 10.1155/2014/132854.
- Chen C.K., Shyur S.D., Chu S.H. Pachydermodactyly: three new cases in Taiwan. J Microbiol Immun Infect. 2012;48(3):340-44. doi: 10.1016/j.jmii.2012.09.002.
- Кожевников А.Н., Поздеева Н.А., Конев М.А. Ювенильный артрит: особенности клиникоинструментальной картины и дифференциальной диагностики. Лечащий врач. 2016;5:88-92.
- Kato N., Niitsu M., Kawabe T Surgical Management of Unilateral Soft Tissue Swelling around the Proximal Interphalangeal Joint in an Adolescent: A Case Report of Pachydermodactyly. Case Rep Orthop. 2015;2015:242078. doi: 10.1155/2015/242078.
- Боярская Л.Н., Подлианова Е.И., Дмитрякова Г.Н. Два случая пахидермодактилии у подростков. Современная педиатрия. 2016;6(78):123-26.
Supplementary files
