An unusual case of peri-articular soft tissue finger swelling in an adolescent male: pachydermodactyly or pachydermoperiostosis?
Benign soft tissue swelling affecting the interphalangeal joints can sometimes be misdiagnosed as an arthropathy. Garrods fatty pads (knuckle pad syndrome) is a relatively common and harmless condition characterized by discrete fibromatous skin pads over the dorsum of the interphalangeal joints. We describe a case which clinically resembles the rare but benign condition of pachydermodactyly with some pathological features of the distinct syndrome of pachydermoperiostosis. The possibility of an overlap syndrome is discussed.
Rai
A
A
Department of Rheumatology, Coventry and Warwickshire Hospital, Coventry.
Zaphiropoulos
G C
GC
D000293:Adolescent; D002358:Cartilage, Articular / Q000002:abnormalities* / Q000473:pathology*; D003937:Diagnosis, Differential; D005384:Finger Joint / Q000002:abnormalities* / Q000473:pathology*; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis / Q000473:pathology; D008297:Male; D010004:Osteoarthropathy, Primary Hypertrophic / Q000175:diagnosis* / Q000473:pathology