Pachydermodactyly in a Patient With Generalized Anxiety Disorder and Tics

Carrascosa, R.; Godoy, A.; Gordillo, Carlos; Argila, D. de

doi:10.1016/j.adengl.2014.05.008

Cited by 6 publications

(7 citation statements)

References 9 publications

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“…The cause of this rare and benign disorder is still unknown, and documented cases until today point to associations with habitual hand and finger using, for example, avid video gamers or occupational activities which repetitively cause minor injuries such as various sports, rock climbing and food processing 5–7. Various psychological and behavioural conditions such as obsessive-compulsive disorder and generalised anxiety disorder are other suggested causes 8 9. According to the systematic review carried out by Fernandez et al, out of 139 patients, only 6 reported musical instrument playing in the past, without any specifiers or details about frequency or duration of activity 10.…”

Section: Discussionmentioning

confidence: 99%

Pachydermodactyly: bilateral proximal interphalangeal joint swelling in an adolescent musician

Shahenyan

Harutyunyan

Nersisyan³

et al. 2022

BMJ Case Rep

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An otherwise healthy young man was referred to the rheumatologist because of bilateral proximal interphalangeal (PIP) joint enlargements. The main concern was excluding the presence of inflammatory arthritis. Physical examination revealed bilateral PIP finger joints (II-IV) swellings and cutaneous thickenings in adjacent areas. The specificity of this case was the patient who appeared in the physician’s room with his violin suitcase pointing to his profession even from the first site. Complete blood count with leucocyte differentials appeared without changes. Radiographics failed to show joint fluid or bony changes. All immunological markers (RF, anti-cyclic citrullinated peptide) and laboratory data (Erythrocyte sedimentation rate, C-reactive protein, etc) were within the reference ranges or negative. After exclusion of rheumatoid and other inflammatory arthritis, and considering the occupation of the patient and demographics the diagnosis of a rare condition–pachydermodactyly was made.

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Section: Discussionmentioning

confidence: 99%

Pachydermodactyly: bilateral proximal interphalangeal joint swelling in an adolescent musician

Shahenyan

Harutyunyan

Nersisyan³

et al. 2022

BMJ Case Rep

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“…Behaviours associated with repetitive mechanical stimulation were identified in 43% of cases in the literature 2. These include repetitive rubbing, stretching, interlacing and cracking of fingers 13–16. Associations with tuberous sclerosis17 and Ehlers-Danlos syndrome12 have also been reported.…”

Section: Discussionmentioning

confidence: 99%

Pachydermodactyly presenting as juvenile idiopathic arthritis in an adolescent man

et al. 2021

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We present the case of a 17-year-old Asian man diagnosed with pachydermodactyly, a rare digital fibromatosis. Although this is a non-inflammatory periarticular soft tissue disorder, the clinical appearance can mimic inflammatory arthritis. The patient had a 2-year history of fusiform swelling of multiple proximal interphalangeal joints. He was initially diagnosed with juvenile idiopathic arthritis and treated with methotrexate, but a lack of clinical response led to the diagnosis of pachydermodactyly. Recognising this rare condition can prevent unnecessary and potentially harmful treatment.

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“…The etiology is not fully understood but is believed to be due to excessive mechanical manipulation of PIP joint periarticular skin, such as from tic‐like joint rubbing . It has been associated with occupational and athletic activities, “obsessive” keyboard and computer game use, generalized anxiety disorder, obsessive‐compulsive disorder, and Asperger syndrome . Rare cases are familial .…”

Section: Discussionmentioning

confidence: 99%

Pachydermodactyly: Case report including clinical and histopathologic diagnostic pitfalls

et al. 2018

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Pachydermodactyly (PDD) is a rare, benign condition characterized by swelling and thickening of the periarticular skin, most commonly at the proximal interphalangeal joints. Diagnosis is routinely made through correlation of clinical, histopathologic, and radiographic findings. Here, we report a case of PDD in a 25-year-old male, with emphasis on the clinical and histopathologic differential diagnosis and potential diagnostic pitfalls.

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Pachydermodactyly in a Patient With Generalized Anxiety Disorder and Tics

Cited by 6 publications

References 9 publications

Pachydermodactyly: bilateral proximal interphalangeal joint swelling in an adolescent musician

Pachydermodactyly: bilateral proximal interphalangeal joint swelling in an adolescent musician

Pachydermodactyly presenting as juvenile idiopathic arthritis in an adolescent man

Pachydermodactyly: Case report including clinical and histopathologic diagnostic pitfalls

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