Pachydermodactyly

An otherwise healthy 17-year-old male presented with a 5-year history of asymptomatic progressive swelling involving multiple fingers of both hands. There was no history of pruritus. Physical examination revealed nontender fusiform swelling of the soft tissue over the dorsal, medial and lateral aspects of the proximal interphalangeal joints of the fingers (except the thumbs) bilaterally (Figures 1 and 2). The range of motion of the fingers was unaffected. A clinical diagnosis of pachydermodactyly was made.

Source: The Journal of Pediatrics - May 21, 2021 Category: Pediatrics Authors: Alexander K.C. Leung, Joseph M. Lam Tags: Rediscovering the Physical Exam Source Type: research