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Updated: Sep 25, 2025

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Achenbach Syndrome: Case Report and Discussion.

Nicholas L Todd1, Sean Bowling1, Mallory Jengo2

  • 1Medicine, Edward Via College of Osteopathic Medicine, Blacksburg, USA.

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|April 28, 2022
PubMed
Summary
This summary is machine-generated.

Achenbach syndrome causes sudden, recurring bruising on fingers or toes without underlying illness. Recognizing this benign condition prevents unnecessary medical tests and reassures patients.

Keywords:
achenbach syndromedigital bruisingidiopathic blue fingerparoxysmal finger hematomaspontaneous digital hematoma

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Area of Science:

  • Dermatology
  • Vascular Medicine

Background:

  • Achenbach syndrome is a rare, benign condition.
  • Characterized by spontaneous, recurrent bruising of digits.
  • No systemic disease or predisposing factors are evident.

Observation:

  • A middle-aged Caucasian female presented with bruising.
  • Bruising was located on the dorsal aspect of her left first metacarpal.
  • Diagnosis was based on history and physical examination.

Findings:

  • The patient was diagnosed with Achenbach syndrome.
  • The condition is self-limiting and requires no specific treatment.
  • Patient was discharged with follow-up as needed.

Implications:

  • Consider Achenbach syndrome in differential diagnosis for digital bruising.
  • Early recognition reassures patients and avoids costly investigations.
  • Highlights the importance of clinical diagnosis for rare conditions.