Acute Non-Ischemic Idiopathic Blue Finger: Achenbach’s Syndrome. Case Report and Literature Review
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Published:
Oct 10, 2021
Keywords:
Achenbach's syndrome, digital bruising, blue finger, paroxysmal haemorrhage
Main Article Content
Abstract
Achenbach’s Syndrome (AS) is a pathology with low incidence and its etiology is unknown. It is characterized by the acute appearance of blue coloration in the finger without a triggering event and might be confused with an ischemic event. However, AS is a self-limited disease without sequelae. This case report is about a 75-year-old woman who presented sudden onset pain and purple coloration in the index finger of her right hand. Diagnostic tests were unhelpful and did not provide relevant information. She received symptomatic treatment, achieving complete resolution. The anamnesis and an exhaustive physical examination playa primary role in the suspicion; leaving diagnostic tests for the exclusion of other pathologies when they are required. We believe that knowing about this pathology allows a correct approach leading to an appropriate diagnosis.
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How to Cite
Pérez Abdala, J. I., Sánchez Saba, J., Zaidenberg, E. E., Gallucci, G., Boretto, J., De Carli, P., & De Cicco, F. L. (2021). Acute Non-Ischemic Idiopathic Blue Finger: Achenbach’s Syndrome. Case Report and Literature Review. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(5), 645-650. https://doi.org/10.15417/issn.1852-7434.2021.86.5.1182
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Section
Case Presentations
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References
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21. Khaira HS, Rittoo D, Vohra RK, Smith SR. The non-ischaemic blue finger. Ann R Coll Surg Engl 2001;83(3):154-7.
PMID: 11432130.
22. Achenbach W. [Paroxysmal hematoma of the hand]. Medizinische 1958;52(27):2138-40. PMID: 13622116
23. Yamada T. Achenbach’s syndrome in an elderly woman. J Gen Fam Med 2018;19:65-6. https://doi.org/10.1002/jgf2.158
24. Jiménez PR, Ocampo MI, Castañeda-Cardona C, Rosselli D. Achenbach’s syndrome: Case report and systematic review of the literature. Rev Colomb Reumatol (English Edition) 2017;24(4):230-6.
https://doi.org/10.1016/j.rcreue.2018.04.003
25. Suzuki J. Achenbach’s syndrome in a 30-year-old healthy woman. Intern Med 2019;58(12):1807.
https://doi.org/10.2169/internalmedicine.2263-18
2. Godoy A, Tabares AH. Achenbach syndrome (paroxysmal finger hematoma). Vasc Med 2019;24(4):361-6.
https://doi.org/10.1177/1358863X19849627
3. Takeuchi H, Uchida HA, Okuyama Y, Wada J. Acute idiopathic blue fingers: a young man with Achenbach’s
syndrome. BMJ Case Rep 2016;2016:101136/bcr2016214491. https://doi.org/10.1136/bcr-2016-214491
4. Harper CM, Waters PM. Acute idiopathic blue finger: case report. J Hand Surg Am 2013;38(10):1980-2.
https://doi.org/10.1016/j.jhsa.2013.07.022
5. Hayta SB, Guner R. A case with acute idiopathic blue finger. Cumhuriyet Medical Journal 2017;39(3):635-6.
https://doi.org/10.7197/223.v39i31705.347465
6. Sigha B, Josselin L, Gatfosse M, Fardet L. Hématomes digitaux spontanés paroxystiques (syndrome d’Achenbach). Ann Dermat Vénér 2016;143(2):130-3. https://doi.org/10.1016/j.annder.2015.10.597
7. Ada F, Kasimzade F. Analysis of 24 patients with Achenbach’s syndrome. World J Clin Cases 2019:7(10):1103-10.
https://doi.org/10.12998/wjcc.v7.i10.1103
8. Carpentier PH, Maricq HR, Biro C, Jiguet M, Seinturier C. Paroxysmal finger haematoma - a benign acrosyndrome occurring in middle-aged women. Vasa 2016;45(1):57-62. https://doi.org/10.1024/0301-1526/a000496
9. Seifman MA, Johnstone BR. The acutely blue finger: cause for concern? J Hand Surg Asian Pac 2018;23(2):294-6.
https://doi.org/10.1142/s2424835518720219
10. Jaimes YAP, Chinome JEO, Molina-Franky J. Hematoma digital espontáneo, síndrome de Achenbach. Revista de la Facultad de Ciencias Médicas de Córdoba 2019;76(4):257-60. https://doi.org/10.31053/1853.0605.v76.n4.24963
11. Kordzadeh A, Caine PL, Jonas A, Rhodes KM, Panayiotopolous YP. Is Achenbach’s syndrome a surgical
emergency? A systematic review. Eur J Trauma Emerg Surg 2016;42(4):439-43. https://doi.org/10.1007/s00068-015-0610-0
12. Kämpfen S, Santa DD, Fusetti C. A Painful blue thumb: a case of Achenbach’s syndrome. EJVES Extra
2005;10(4):84-5. https://doi.org/10.1016/j.ejvsextra.2005.07.004
13. Weinberg I, Jaff MR. Spontaneous blue finger syndrome: a benign process. Am J Med 2012;125(1):e1-2.
https://doi.org/10.1016/j.amjmed.2011.05.007
14. Ribeiro F, Aveiro M, Leal M, Valente T, Jesus G. An acute blue finger: a case of Achenbach’s syndrome. Eur J Case Rep Intern Med 2019;6(9):001231. https://doi.org/10.12890/2019_001231
15. Pavlovic MD, Loubser MD. Paroxysmal acral haematoma is a more appropriate name for Achenbach syndrome. Clin Exp Dermatol 2019;44(2):e18-9. https://doi.org/10.1111/ced.13836
16. Huikeshoven M, de Priester JA, Engel AF. A case of spontaneous wrist haematoma in Achenbach syndrome. J Hand Surg Eur 2009;34(4):551-2. https://doi.org/10.1177/1753193409103731
17. Robertson A, Liddington MI, Kay SP. Paroxysmal finger haematomas (Achenbach’s syndrome) with angiographic abnormalities. J Hand Surg Br 2002;27(4):391-3. https://doi.org/10.1054/jhsb.2001.0726
18. Frerix M, Richter K, Müller-Ladner U, Hermann W. Achenbach’s syndrome (paroxysmal finger hematoma) with capillaroscopic evidence of microhemorrhages. Arthritis Rheumatol 2015;67(4):1073. https://doi.org/10.1002/art.39003
19. Watchorn RE, Babu S, Lewis F, Calonje E, Taibjee SM. Paroxysmal purple palmar macules with a rare aetiology.
Clin Exp Dermatol 2017;42(5):561-3. https://doi.org/10.1111/ced.13101
20. Eikenboom JCJ, Cannegieter SC, Briët E. Paroxysmal finger haematoma: a neglected syndrome. Thromb Haemost 1991;66(2):266. http://doi.org/10.1055/s-0038-1646403
21. Khaira HS, Rittoo D, Vohra RK, Smith SR. The non-ischaemic blue finger. Ann R Coll Surg Engl 2001;83(3):154-7.
PMID: 11432130.
22. Achenbach W. [Paroxysmal hematoma of the hand]. Medizinische 1958;52(27):2138-40. PMID: 13622116
23. Yamada T. Achenbach’s syndrome in an elderly woman. J Gen Fam Med 2018;19:65-6. https://doi.org/10.1002/jgf2.158
24. Jiménez PR, Ocampo MI, Castañeda-Cardona C, Rosselli D. Achenbach’s syndrome: Case report and systematic review of the literature. Rev Colomb Reumatol (English Edition) 2017;24(4):230-6.
https://doi.org/10.1016/j.rcreue.2018.04.003
25. Suzuki J. Achenbach’s syndrome in a 30-year-old healthy woman. Intern Med 2019;58(12):1807.
https://doi.org/10.2169/internalmedicine.2263-18