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Pachydermodactyly: An Underdiagnosed Condition in Adolescence-A Case Report and Literature Review
Mishari T Alrubaiaan1, Yousef H Alharthi2, Suliman Alfaraj2
1College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Abstract:
Pachydermodactyly (PDD) is a rare, underdiagnosed benign condition characterized by asymmetrical, bilateral fusiform swellings of the hands' proximal interphalangeal (PIP) joints. In this type of digital fibromatosis, cutaneous thickening is thought to occur due to repetitive mechanical irritation. Furthermore, due to its striking clinical appearance, PDD is commonly overlooked or misdiagnosed as other inflammatory arthropathies or pachydermoperiostosis. In addition, because of its elusive nature and resemblance to more serious conditions, clinicians should be aware of this condition. Herein, we present a case of PDD and discuss the differential diagnoses to improve recognition and prevent misdiagnosis.
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