Paroxysmal hand hematoma

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Paroxysmal hand hematoma
Paroxysmal hand hematoma Achenbach syndrome doigt bleu 02.jpg
Synonyms Achenbach syndrome, paroxysmal finger hematoma, "blue finger"
Pronounce N/A
Specialty N/A
Symptoms Sudden onset of pain, swelling, and bruising in the fingers
Complications None
Onset Sudden
Duration Usually resolves within a few days
Types N/A
Causes Unknown, possibly related to microvascular fragility
Risks More common in middle-aged women
Diagnosis Clinical diagnosis based on symptoms
Differential diagnosis Raynaud's phenomenon, vasculitis, thrombosis
Prevention N/A
Treatment Reassurance, analgesics for pain
Medication N/A
Prognosis Excellent, condition is benign and self-limiting
Frequency Rare
Deaths N/A


Paroxysmal Hand Hematoma (also known as Achenbach's syndrome) is a rare and benign condition characterized by sudden and unexplained bruising in the palm of the hand. The condition was first described by the German physician Walter Achenbach in 1958.

Symptoms[edit | edit source]

The main symptom of Paroxysmal Hand Hematoma is sudden bruising in the palm of the hand. This is often accompanied by a sensation of swelling and pain. The symptoms usually resolve on their own within a few days to a week.

Causes[edit | edit source]

The exact cause of Paroxysmal Hand Hematoma is unknown. However, it is thought to be related to a temporary rupture of small blood vessels in the hand. This can be triggered by minor trauma or strain, although in many cases no specific cause can be identified.

Diagnosis[edit | edit source]

Diagnosis of Paroxysmal Hand Hematoma is usually based on the characteristic symptoms and a physical examination. In some cases, a doctor may order additional tests to rule out other conditions that can cause similar symptoms, such as a blood clot or a fracture.

Treatment[edit | edit source]

There is no specific treatment for Paroxysmal Hand Hematoma. The symptoms usually resolve on their own within a few days to a week. Pain relief medication can be used to manage the pain if necessary.

See also[edit | edit source]

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD