Case Report: Dupuytren's Disease in a 12-Year-Old Child; Unusual Clinical Presentation

Dupuytren's disease is a progressive fibroproliferative disorder primarily affecting men over 40. Its occurrence in children is extremely rare, with fewer than 25 cases reported since 1955. Due to its rarity, it is often overlooked in pediatric patients presenting with palmar masses. The etiology in children remains unclear, and clinical presentation may differ from the adult form, sometimes mimicking other fibromatoses or even malignancies.

We report the case of a 12-year-old boy with a painful, progressively enlarging palmar mass. Examination revealed a firm subcutaneous nodule adherent to the palmar fascia, without digital contracture. Imaging suggested a tenosynovial cyst, but Dupuytren's disease was also considered, leading to surgical excision of the palmar fascia. Histopathology confirmed Dupuytren's disease, with fibroblastic proliferation and collagen deposition.

This case highlights the importance of considering Dupuytren's disease in children presenting with palmar masses. Given its rarity, awareness is crucial to avoid misdiagnosis and unnecessary interventions. Long-term follow-up is recommended, given the uncertain recurrence risk in pediatric patients.