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Arch Hand Microsurg > Volume 19(4); 2014 > Article
Journal of the Korean Society for Surgery of the Hand 2014;19(4):205-208.
Published online December 30, 2014.
DOI: https://doi.org/10.12790/jkssh.2014.19.4.205   
A Case of Pachydermodactyly
Chae Chil Lee, Seung Won Choi, Se Jin Jung, Young Min Kim, Il Yeong Hwang
1Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
2Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. choisw@uuh.ulsan.kr
3Department of Pathology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Received: 29 September 2014   • Revised: 2 December 2014   • Accepted: 2 December 2014
Abstract
Pachydermodactyly is a form of digital dermal fibromatosis of unknown etiology, characterized by asymptomatic soft tissue swelling on the lateral aspects of the proximal interphalangeal joints of the hands. It usually affects young men and often associated with repetitive mechanical trauma. As a rule, it is a benign condition and a specific therapy or extensive investigation is not necessary in most cases. However, pachydermodactyly is not well recognized by physician. So it can be confused with other rheumatic conditions, such as rheumatoid arthritis or juvenile idiopathic arthritis. A prompt diagnosis is crucial for preventing inappropriate or possible toxic treatment. We describe a case of pachydermodactyly in a 20-year-old military man, who had painless swellings of the hand joints.
 
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