Aguirre-Bejarano Paula, Tuta-Quintero Eduardo, Mora-Karam Claudia, Quiroga-Segura Sergio, Pimentel Juan
Department of Medicine, Hospital San Rafael de Pacho, Pacho, Colombia.
Department of Internal Medicine, University of La Sabana. Chía, Colombia,
WMJ. 2023 Mar;122(1):74-76.
Paroxysmal hematoma of the fingers, or Achenbach syndrome, is a rare vascular disorder of benign course and unknown etiology. The clinical manifestations are sudden onset, paroxysmal spontaneous subcutaneous hematomas, and edema and pain in the fingers and hands. The clinical course is self-limited and does not leave permanent sequela. The diagnosis is clinical, and complementary studies are often unnecessary. We present the clinical case of a 69-year-old woman diagnosed with Achenbach syndrome in a primary care center in Colombia.
手指阵发性血肿,即阿申巴赫综合征,是一种病程良性、病因不明的罕见血管疾病。临床表现为突然发作、阵发性自发性皮下血肿,以及手指和手部的水肿与疼痛。临床病程呈自限性,不会留下永久性后遗症。诊断依靠临床症状,通常无需辅助检查。我们在此介绍一名69岁女性在哥伦比亚一家初级保健中心被诊断为阿申巴赫综合征的临床病例。