An Acute Blue Finger: A Case of Achenbach’s Syndrome

  • Fani Ribeiro Centro Hospitalar do Baixo Vouga
  • Marcelo Aveiro Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • Mariana Leal Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • Tiago Valente Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
  • Gorete Jesus Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal

Keywords

Achenbach’s syndrome, paroxysmal finger haematoma

Abstract

Achenbach’s syndrome, also known as paroxysmal finger haematoma, is a rare condition that results in spontaneous bruising and pain in one or more fingers. Despite its benign and self-limiting course, the remarkable clinical presentation can suggest serious vascular and haematological disease leading to unnecessary referrals and invasive investigations. The authors present the case of a 60-year-old woman with an acute painful and bruised finger. All other physical findings and investigations were normal, except for autoimmune thyroiditis. Based on the clinical presentation and course, the diagnosis of Achenbach’s syndrome was made and the symptoms resolved without treatment.

References

  • Jiménez PR, Ocampo MI, Cardona CC, Rosselli D. Achenbach’s syndrome: case report and systematic review of the literature. Rev Colomb Reumatol 2017;24:230–236.

  • Stoll F, Heilmeier B, Radeleff B, Katus HA, Muler OJ. Painful hand swelling after roller coaster ride. Clin Med Rev Case Rep 2018;5:206.

  • Kluger N, Serres-Cousiné A, Girard C, Guillot B. Hématomes digitaux spontanés (syndrome d’Achenbach). Presse Med 2011;40:326–327.

  • Frerix M, Richter K, Müller-Ladner U, Hermann W. Clinical images: Achenbach’s syndrome (paroxysmal finger hematoma) with capillaroscopic evidence of microhemorrhages. Arthritis Rheumatol 2014;67:1073.

  • Takeuchi H, Uchida HA, Okuyama Y, Wada J. Acute idiopathic blue fingers: a young man with Achenbach’s syndrome. BMJ Case Rep 2016 Apr 18. doi: 10.1136/bcr-2016-214491 (published online).

  • Kordzadeh A, Caine PL, Jonas A, Rhodes KM, Panayiotopolous YP. Is Achenbach’s syndrome a surgical emergency? A systematic review. Eur J Trauma Emerg Surg 2015;42:439–443.
  • Published: 2019-08-30

    Issue: Vol 6 No 9 (view)

    Section: Articles

    How to cite:
    Ribeiro, F., Aveiro, M., Leal, M., Valente, T., & Jesus, G. (2019). An Acute Blue Finger: A Case of Achenbach’s Syndrome. European Journal of Case Reports in Internal Medicine, 6(9). https://doi.org/https://doi.org/10.12890/2019_001231

    Most read articles by the same author(s)