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Dupuytren's disease in a child: a long-term evolution after surgery
Serafin García-Mata1, Julio Duart-Clemente
1Pediatric Orthopaedic Section, Department of Traumatology and Orthopaedic Surgery, Complejo Hospitalario de Navarra, Pamplona, Spain.
Journal of Pediatric Orthopedics. Part B
|September 15, 2018
Summary
Dupuytren
Area of Science:
- Dermatology
- Orthopedic Surgery
- Pediatric Pathology
Background:
- Dupuytren's disease is a hand condition that typically affects adults.
- Childhood presentation of Dupuytren's disease is exceptionally rare.
Observation:
- A 13-year-old girl presented with a fibrous nodular lesion on her palm.
- Ultrasonography revealed a nodular mass, surgically resected via dermofasciectomy.
- Histological examination showed fusocellular fibroblast proliferation consistent with Dupuytren's disease.
Findings:
- The lesion lacked encapsulation and malignant features.
- The patient experienced no relapse over 16 years, maintaining full hand mobility.
Implications:
- Childhood Dupuytren's disease should be considered in the differential diagnosis of palmar lesions in children.
- Surgical resection and histological examination are crucial for accurate diagnosis due to potential clinical indistinguishability from malignant conditions.
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