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Knuckle pads - a rare finding
Giorgio Tamborrini1, Michael Gengenbacher1, Stefano Bianchi1
1Department of Rheumatology and Musculoskeletal Ultrasound, Bethesda Hospital, Basel, Switzerland.
Journal of Ultrasonography
|December 18, 2015
Summary
Knuckle pads are benign skin growths that appear as lumps on the finger joints. Ultrasound and histology confirm the diagnosis and help differentiate them from other joint conditions.
Area of Science:
- Dermatology
- Rheumatology
- Radiology
Background:
- Knuckle pads are rare, benign subcutaneous nodules.
- They require differentiation from joint diseases and other soft tissue masses.
Observation:
- A case of a 36-year-old woman with bilateral knuckle pads on the dorsal proximal interphalangeal joints.
- No underlying musculoskeletal disorder was identified.
Findings:
- Ultrasound revealed well-defined, hypoechoic subcutaneous masses without vascularity.
- Histology showed myofibroblast proliferation and reduced elastic fibers in the dermis.
Implications:
- This case highlights the diagnostic utility of ultrasound and histology for knuckle pads.
- Understanding these findings aids in differentiating knuckle pads from other dorsal finger swellings.
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