Title of article
Pachydermodactyly: A Rare Type of Macrodactyly as a Dermatological Sign of Compulsive Behavior and Repetitive Minor Trauma; a Case Report and Review of the Literature
Author/Authors
Kavecan, Ivana Faculty of Medicine - University of Novi Sad - Novi Sad, Republic of Serbia , Pajic, Milos Faculty of Medicine - University of Novi Sad - Novi Sad, Republic of Serbia , Vuckovic, Nada Faculty of Medicine - University of Novi Sad - Novi Sad, Republic of Serbia , Redzek Mudrinic, Tatjana Faculty of Medicine - University of Novi Sad - Novi Sad, Republic of Serbia , Bjelica, Artur Faculty of Medicine - University of Novi Sad - Novi Sad, Republic of Serbia , Velisavljev Filipovic, Gordana Faculty of Medicine - University of Novi Sad - Novi Sad, Republic of Serbia , Stojsic-Milosavljevic, Anastazija Faculty of Medicine - University of Novi Sad - Novi Sad, Republic of Serbia , Vijatov-Djuric, Gordana Faculty of Medicine - University of Novi Sad - Novi Sad, Republic of Serbia , Stojsic, Mirjana Faculty of Medicine - University of Novi Sad - Novi Sad, Republic of Serbia , Erdes-Kavecan, Djerdji Department of Psychology - Novi Pazar, Republic of Serbia , Savic, Radojica Faculty of Medicine - University of Novi Sad - Novi Sad, Republic of Serbia , Katanic, Jasmina Faculty of Medicine - University of Novi Sad - Novi Sad, Republic of Serbia , Hrnjak Ilic, Helena Temerin, Republic of Serbia
Pages
6
From page
1
To page
6
Abstract
Introduction: Pachydermodactyly is a very rare type of macrodactyly. It clinically resembles juvenile rheumatoid arthritis, but it
has a non-inflammatory etiology without bone, articular, or synovial involvement.
Case Presentation: In this study, we report the case of a 15-year-old boy with repetitive behavior diagnosed with a pachydermodactyly
after evaluation of bilateral swelling of the proximal interphalangeal joints. Histologic examination revealed epidermal
hyperorthokeratosis, thickening of the dermis with increased dermal collagen and absence of inflammatory cells. Pachydermodactyly
is a very rare condition associated with compulsive behavior and results from repetitive minor trauma that causes localized
proliferation of fibrous tissue.
Conclusions: Pachydermodactyly is a dermatological sign of compulsive behavior and repetitive minor trauma, and it should be
distinguished from other forms of joint enlargement to avoid unnecessary medicamentous treatment. Control examinations did
not reveal clinically relevant worsening even without any treatment applied.
Keywords
Behavior , Compulsive , Fibromatosis , Finger , Joint , Local , Macrodactyly , Pachydermodactyly , Repetitive , Trauma
Journal title
Astroparticle Physics
Serial Year
2018
Record number
2431438
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