Symptoma

Achenbach Syndrome

Recognising this disease quickly after presentation helps to eliminate the anxiety of the patient, as well as reducing excessively invasive investigations. We present a case report to enlighten Achenbach's syndrome. [okayama.pure.elsevier.com]

The bluish discolouration was present on the finger with sparing of the tip. 55 year old presenting to the A&E department with painful discolouration of the right index finger. [ncbi.nlm.nih.gov]

Our patient’s presentation was atypical in that she was younger than the usual presenting age and the 4th digit isn’t commonly affected in an isolated manner. [brownemblog.com]

As for the clinical presentation, it was found that the mean age of presentation was 48 years, and the mean frequency of recurrences was 1.2 per year with an interquartile range of 0.8–2.9. [elsevier.es]

A 66-year-old woman presented with sudden-onset pain and bruising in her right middle finger. She had had a similar episode 3 weeks earlier, which had resolved spontaneously. [nejm.org]

  • Ecchymosis

    1 Achenbach syndrome (paroxysmal finger hematoma). 38 31159682 2019 2 Painful ecchymosis of the finger: a case of Achenbach syndrome. 38 Castillo SA...Werchniak AE 31353447 2019 3 Achenbach syndrome. 38 Notomi K...Harada T 31133606 2019 4 Analysis of [malacards.org]

    The right hand was affected more frequently than the left and the involvement of the palmar side was more frequent. 100% of patients reported pain and ecchymosis. [elsevier.es]

  • Hypoxemia

    Trauma or alterations in coagulation should be ruled out in the initial evaluation, as well as cyanosis secondary to hypoxemia or methemoglobinemia. [elsevier.es]

  • Respiratory Distress

    Pulmonary/Chest: No respiratory distress. Muskuloskeletal: Normal range of motion. She exhibits edema (4th finger right). She exhibits no tenderness or deformity. Neurological: She exhibits normal muscle tone. Skin: She is not diaphoretic. [brownemblog.com]

  • Abdominal Pain

    pain, gastrointestinal hemorrhages and nephritis, which is the most common manifestation in adults. 31 Funding This work did not receive any funding. [elsevier.es]

  • Arthralgia

    […] diseases, there is the vasculitic purpura, a disease of unknown etiology that occurs most frequently in children, although it can occur in adults; it is characterized by inflammation of vessels of small caliber that gives rise to palpable purpuric lesions, arthralgias [elsevier.es]

  • Dermatitis

    […] vascular disease Atherosclerosis Buerger disease Takayasu arteritis Ulnar artery thrombosis Giant cell arteritis Radial artery thrombosis Aneurysmal disease producing emboli Microemboli Vibration-induced injury Polycythemia Cold injury Cryoglobulinemia Dermatitis [wjgnet.com]

  • Hyperkeratosis

    In one of these cases, the epidermis showed hyperkeratosis and parakeratosis. In the other case, amorphous, eosinophilic amyloid deposition in the stroma and fibrin accumulation was observed. [wjgnet.com]

  • Suggestibility

    Our clinical observations suggest that the disease is more common than generally thought. [wjgnet.com]

    The acute phase can be very alarming and could suggest more serious vascular disease. In Ireland, this condition is seen occasionally. [ncbi.nlm.nih.gov]

    The recurrent and chronic episodes, the progressive coloration changes in the fingers from blue to white and their relation with temperature changes suggest a picture of Raynaud's syndrome. [elsevier.es]

  • Fear

    The symptoms can be startling to the patient, eliciting fear of something terrible when, in fact, the syndrome is relatively benign and has a good prognosis. [okayama.pure.elsevier.com]

  • Neglect

    Paroxysmal finger haematoma: a neglected syndrome. Thromb Haemost. 1991;66(2):266. PubMed 3. Yamamoto Y, Yamamoto S. Achenbach’s syndrome. N Engl J Med. 2017;376:e53. View Article PubMed [jmaj.jp]

    Paroxysmal finger haematoma: a neglected syndrome. Thromb Haemost. 1991; 66 :266. [ PubMed ] [ Google Scholar ] 3. Layton A.M., Cotterill J.A. A case of Achenbach's syndrome. Clin Exp Dermatol. 1993; 18 :60–61. [ PubMed ] [ Google Scholar ] 4. [ncbi.nlm.nih.gov]

    Paroxysmal finger haematoma: a neglected syndrome. Thromb Haemost, 66 (1991), pp. 266 [28] J. Echeverri, F. Ramadan. Why is my finger blue?. J Am Geriatr Soc, 62 (2014), pp. S29 [29] P.H. Carpentier, H.R. Maricq, C. Biro, M. Jiguet, C. Seinturier. [elsevier.es]

3 26774542 BACKGROUND: Paroxysmal finger haematoma (also known as "Achenbach syndrome") is a benign condition resulting in the sudden appearance of bruising on one or more fingers, either spontaneously or after minimal trauma, and resolving without treatment [read.qxmd.com]

The patient's symptoms gradually improved and were completely resolved without specific treatment. Based on the clinical presentation and course, we gave a diagnosis of Achenbach's syndrome, developed in a young male. [okayama.pure.elsevier.com]

There are many different opinions in the general treatment of the disease. Some of these views suggest that there is no need for treatment because of the benign course of the disease and that only follow-up is sufficient[ 10, 23, 24 ]. [wjgnet.com]

Specific treatment is not required, and the patient may recover spontaneously within 1 week with local rest. A general practitioner familiar with the disease can reassure the patient (3). Informed written consent was obtained from the patient. [jmaj.jp]

She had a past history of psoriatic arthritis but was not on any treatment for it. On examination the rest of her limb and digits were well perfused. [ncbi.nlm.nih.gov]

The symptoms can be startling to the patient, eliciting fear of something terrible when, in fact, the syndrome is relatively benign and has a good prognosis. [okayama.pure.elsevier.com]

The etiology and prognosis of the disease is still a mystery. It is of great importance to know whether the syndrome is seen in the brain and vital organs. [wjgnet.com]

Kämpfen et al[ 6 ] have proposed the etiology of vasospasm through a case in which ergotamine was used due to migraine. [wjgnet.com]

It is of unknown etiology and has a benign course. Because of its low prevalence, available literature is limited, and most publications are case reports. No Latin-American publications were found on the subject. [elsevier.es]

Etiology may possibly be related to vascular fragility as occasional cases occur after minor trauma, however there is no evidence to support this definitively. [brownemblog.com]

Part 1: Pathophysiology and diagnostic approach]. 38 Sunderkotter C...Riemekasten G 16902805 2006 11 [Recurrent painful cyanosis of fingers and palm. [malacards.org]

They should also be counseled about the likelihood of recurrence to prevent anxiety if they develop symptoms again. [brownemblog.com]