Post Ambulatory Swollen Hands (POTASH): An Autobiographical Case Report

Post ambulatory swollen hands (POTASH) revisited: post ambulatory hand swelling in a half marathon participant

“…The swelling resulted in a positive fist sign; he was not able to clench his fingers into the palm and make a fist (Figure 1). There was no Similar to a prior episode of running-associated hand swelling [10], within two hours after completing the race the hand and finger swelling was 80 percent resolved. After four hours, his hands and fingers were still slightly swollen.…”

“…Post ambulatory swollen hands (POTASH) is a condition that presents with acute hand swelling [10,11]. It is associated with ambulatory activities such as hiking, running, and walking [10][11][12].…”

“…Post ambulatory swollen hands (POTASH) is a condition that presents with acute hand swelling [10,11]. It is associated with ambulatory activities such as hiking, running, and walking [10][11][12]. The features of an older man who developed POTASH during a 13.1-mile half marathon are described and the characteristics of this unique presentation of hand swelling are summarized.…”

“…Correlation of the patient's history and clinical presentation established the diagnosis of POTASH [10]. In addition to POTASH, other causes of acute hand swelling include allergic contact dermatitis, compartment syndrome, deep venous thrombosis, erythromelalgia, exercise-induced urticaria, infection, irritant contact dermatitis, medications, nocturnal hand swelling, post coronavirus disease 2019 (COVID-19) puffy hands, Raynaud disease and phenomenon, remitting seronegative symmetrical synovitis with pitting edema, and thoracic outlet syndrome [1,2,5,6,8,[10][11][12].…”

“…Correlation of the patient's history and clinical presentation established the diagnosis of POTASH [10]. In addition to POTASH, other causes of acute hand swelling include allergic contact dermatitis, compartment syndrome, deep venous thrombosis, erythromelalgia, exercise-induced urticaria, infection, irritant contact dermatitis, medications, nocturnal hand swelling, post coronavirus disease 2019 (COVID-19) puffy hands, Raynaud disease and phenomenon, remitting seronegative symmetrical synovitis with pitting edema, and thoracic outlet syndrome [1,2,5,6,8,[10][11][12]. In contrast, chronic hand swelling can result from acromegaly, carpal tunnel syndrome (tumor associated), complex regional pain syndrome type I, leprosy, lymphedema, mixed connective tissue disease, puffy hand syndrome, rheumatoid arthritis, scleroderma, and systemic organ (heart, kidney, and liver) disease [2][3][4]7,9].…”