Knuckle Pads in Children

Knuckle Pads Versus Gottron’s Papules: Making a Differential Diagnosis

“…Recommendation to avoid the traumatic stimuli was made. ings over the dorsal aspects of the digital joints [1]. They may be idiopathic or related to repetitive friction or pressure [2,3] like in our case report.…”

Suction pads related to thumb sucking and chewing

“…Hence, suction pads must be clearly differentiated from true idiopathic knuckle pads, which only rarely show spontaneous regression and are an idiopathic abnormality. The latter may be familial and occur over the finger joints as an isolated disorder or in association with palmoplantar keratoderma, Dupuytren's contracture, hearing loss and total leuconychia 4 . Although the present case caused no problems in diagnosis, as the parents already suspected the cause of the digital pads, the importance of obtaining a complete medical history for a correct diagnosis must be stressed.…”

Radiotherapy for Symptomatic Knuckle Pads Associated With Dupuytren’s Disease: A Report of a Case Series

“…Numerous knuckle pad treatments have been attempted with varying success rates; none have proven to be a standard treatment approach. Resection has not been useful due to the risk of scarring and recurrence, whereas a case using erbium:yttrium-aluminum-garnet laser treatment was found to be successful [ 20 - 22 ]. Topical applications of urea lotion and salicylic acid were observed to be effective in individual cases [ 1 , 22 ].…”

“…Resection has not been useful due to the risk of scarring and recurrence, whereas a case using erbium:yttrium-aluminum-garnet laser treatment was found to be successful [ 20 - 22 ]. Topical applications of urea lotion and salicylic acid were observed to be effective in individual cases [ 1 , 22 ]. A combination therapy of topical crisaborole, triamcinolone, and neomycin was reported to reduce knuckle pads in a patient who was previously treated with steroid injections and topical steroid treatment [ 23 ].…”