Takeuchi Hidemi, Uchida Haruhito Adam, Okuyama Yuka, Wada Jun
Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
BMJ Case Rep. 2016 Apr 18;2016:10.1136/bcr-2016-214491. doi: 10.1136/bcr-2016-214491.
We report a case of a 20-year-old man presenting with acute painful blue fingers. All physical findings, including an Allen test, were normal, and systematic symptoms frequently seen in collagen diseases were absent. Although we performed a wide variety of investigations including medical imaging, no specific abnormal findings were observed. Skin biopsy pathology was an important reference. The patient's symptoms gradually improved and were completely resolved without specific treatment. Based on the clinical presentation and course, we gave a diagnosis of Achenbach's syndrome, developed in a young male. Achenbach's syndrome is rare, but still may be encountered in clinical practice. The symptoms can be startling to the patient, eliciting fear of something terrible when, in fact, the syndrome is relatively benign and has a good prognosis. Recognising this disease quickly after presentation helps to eliminate the anxiety of the patient, as well as reducing excessively invasive investigations. We present a case report to enlighten Achenbach's syndrome.
我们报告一例20岁男性患者，其手指急性疼痛且呈蓝色。包括艾伦试验在内的所有体格检查结果均正常，且未出现胶原病中常见的系统性症状。尽管我们进行了包括医学影像检查在内的多种检查，但未观察到特定的异常发现。皮肤活检病理是重要的参考依据。患者症状逐渐改善，未经特殊治疗完全缓解。根据临床表现及病程，我们诊断该青年男性患阿亨巴赫综合征。阿亨巴赫综合征较为罕见，但在临床实践中仍可能遇到。这些症状可能会令患者惊恐，引发对严重疾病的恐惧，而实际上该综合征相对良性，预后良好。出现症状后迅速识别此病有助于消除患者的焦虑，同时减少过度的侵入性检查。我们通过病例报告来阐明阿亨巴赫综合征。
