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A 12-year-old boy presenting with unilateral proximal interphalangeal joint swelling
S Small1, V Murthy, A V Sridhar
1Children's Hospital, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, UK.
BMJ Case Reports
|June 16, 2012
Summary
Pachydermodactyly, a rare skin condition causing benign soft tissue swelling, typically affects fingers symmetrically. This case report details an unusual unilateral presentation in a young male.
Area of Science:
- Dermatology
- Medical Case Reports
- Human Anatomy
Background:
- Pachydermodactyly is a rare, benign superficial dermal fibromatosis.
- Characterized by asymptomatic soft tissue hypertrophy on the lateral and dorsal aspects of proximal interphalangeal joints.
- Typically affects males, commencing around puberty, with symmetrical, bilateral involvement of the middle, ring, and index fingers.
Observation:
- A case report focusing on a right-handed young male.
- Presented with unilateral swelling of the proximal interphalangeal joints.
- The swelling was exclusively on the left hand, deviating from the typical bilateral presentation.
Findings:
- The case highlights an atypical unilateral manifestation of pachydermodactyly.
- Contrasts with the predominantly reported bilateral and symmetrical cases in medical literature.
- This finding expands the spectrum of clinical presentations for pachydermodactyly.
Implications:
- Suggests the need for broader diagnostic considerations for pachydermodactyly.
- Emphasizes the importance of documenting and analyzing unilateral cases.
- May inform future research into the etiology and pathogenesis of this condition.
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