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一名12岁男孩,出现单侧近端指间关节肿胀。

A 12-year-old boy presenting with unilateral proximal interphalangeal joint swelling.

作者信息

Small S, Murthy V, Sridhar A V

机构信息

Children's Hospital, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, UK.

出版信息

BMJ Case Rep. 2011 Apr 13;2011:bcr0120113719. doi: 10.1136/bcr.01.2011.3719.

DOI:10.1136/bcr.01.2011.3719
PMID:22700997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3079477/
Abstract

Pachydermodactyly is a rare and benign superficial dermal fibromatosis, characterised by asymptomatic soft tissue hypertrophy of the lateral and dorsal aspects of the proximal interphalangeal joints. The majority affected are males, with only a few reported female cases, and usually begins to develop around the age of puberty. Pachydermodactyly affects the second, middle and ring fingers of the hand symmetrically and bilaterally. The majority of reported cases demonstrate bilateral involvement of joints, only a small proportion report unilateral involvement. In this case report the authors review literature and discuss a case of pachydermodactyly presenting a unilateral swelling of the proximal interphalangeal joints of only the left hand in a right-handed young male.

摘要

厚皮性指端纤维瘤病是一种罕见的良性浅表性皮肤纤维瘤病,其特征是近端指间关节的外侧和背侧出现无症状的软组织肥大。受影响的大多数是男性,仅有少数女性病例报道,通常在青春期左右开始发病。厚皮性指端纤维瘤病对称且双侧累及手部的第二、中指和环指。大多数报道病例显示关节双侧受累,只有一小部分报道为单侧受累。在本病例报告中,作者回顾了文献并讨论了一例厚皮性指端纤维瘤病病例,该病例表现为一名右利手年轻男性仅左手近端指间关节出现单侧肿胀。

相似文献

1
A 12-year-old boy presenting with unilateral proximal interphalangeal joint swelling.一名12岁男孩,出现单侧近端指间关节肿胀。
BMJ Case Rep. 2011 Apr 13;2011:bcr0120113719. doi: 10.1136/bcr.01.2011.3719.
2
Pachydermodactyly: An Unknown Entity.厚皮性指节垫:一种未知病症。
J Hand Surg Am. 2016 Aug;41(8):e239-41. doi: 10.1016/j.jhsa.2016.05.013. Epub 2016 Jun 18.
3
Pachydermodactyly: A Case Report Including Histopathology.厚皮性指端皮炎:一例包括组织病理学的病例报告
J Hand Surg Am. 2016 Aug;41(8):e243-6. doi: 10.1016/j.jhsa.2016.04.013. Epub 2016 May 13.
4
Pachydermodactyly: four additional cases.厚皮指:另外4例病例
Clin Rheumatol. 2007 Jun;26(6):962-4. doi: 10.1007/s10067-006-0210-9. Epub 2006 Mar 22.
5
[Pachydermodactyly in adolescents: a sign of discomfort?].
Arch Pediatr. 1996 Nov;3(11):1091-4. doi: 10.1016/s0929-693x(96)89514-5.
6
[Pachydermodactyly: seven new cases].[厚皮性多指(趾)畸形:7例新病例]
Ann Dermatol Venereol. 1998 Apr;125(4):247-50.
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An update on pachydermodactyly and a report of three additional cases.厚皮性多指(趾)畸形的最新进展及另外三例病例报告。
Br J Dermatol. 1995 Sep;133(3):433-7. doi: 10.1111/j.1365-2133.1995.tb02673.x.
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A case of deforming pachydermodactyly.一例变形性厚皮性指端皮炎。
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[Pachydermodactyly: a report of two cases].[厚皮性多指(趾)畸形:两例报告]
Chir Main. 2004 Aug;23(4):205-7. doi: 10.1016/j.main.2004.05.005.
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Unusual unilateral presentation of pachydermodactyly: a case report.厚皮性骨膜病单侧表现异常:一例报告。
Rheumatol Int. 2012 Jun;32(6):1747-50. doi: 10.1007/s00296-011-1895-x. Epub 2011 Mar 26.

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Pachydermodactyly: An Underdiagnosed Condition in Adolescence-A Case Report and Literature Review.厚皮性多指(趾)畸形:一种在青少年中未被充分诊断的病症——病例报告及文献综述
Case Rep Dermatol Med. 2025 May 8;2025:5560071. doi: 10.1155/crdm/5560071. eCollection 2025.
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Successful Resolution of Pachydermodactyly in an Adolescent Boy.一名青少年男性厚皮性指端皮炎成功治愈
Turk Arch Pediatr. 2024 Mar 7;59(3):328-329. doi: 10.5152/TurkArchPediatr.2024.23299.
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Painful pachydermodactyly in a 39-year-old woman: A case report and review of the literature.一名39岁女性的疼痛性厚皮性多指(趾)畸形:病例报告及文献复习
Ann Med Surg (Lond). 2021 Sep 17;70:102871. doi: 10.1016/j.amsu.2021.102871. eCollection 2021 Oct.
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The use of interactive distraction technique to manage gagging during impression taking in children: a single-blind, randomised controlled trial.使用互动式分散注意力技术管理儿童取印模时的哽噎:一项单盲、随机对照试验。
Eur Arch Paediatr Dent. 2021 Apr;22(2):219-225. doi: 10.1007/s40368-020-00582-2. Epub 2020 Nov 27.

本文引用的文献

1
Pachydermodactyly--just a sign of emotional distress.厚皮性多指(趾)畸形——只是情绪困扰的一种表现。
Eur J Dermatol. 2009 Jan-Feb;19(1):5-13. doi: 10.1684/ejd.2008.0543. Epub 2008 Dec 5.
2
Discrete keratodermas over the knuckle and finger articulations.
AMA Arch Derm. 1955 Mar;71(3):349-53. doi: 10.1001/archderm.1955.01540270061007.
3
Letter: Pachydermodactyly: a variant of the true knuckle pad.信函:厚皮指节垫:真性指节垫的一种变体。
Arch Dermatol. 1975 Apr;111(4):524.