title: Paroxysmal finger haematoma--a benign acrosyndrome occurring in middle-aged women.
abstract: BACKGROUND
  Paroxysmal finger haematoma (PFH) is an under-recognised vascular acrosyndrome with no epidemiological description to date. The aim of this work was to evaluate the prevalence, risk factors and clinical correlates of PFH in a population-based sample of subjects and to describe their semiological characteristics.
  
  
  METHODS
  This cross-sectional study of random samples of the general population in three geographic areas of France involved 802 subjects, 548 women and 254 men, aged 18 to 84 years. The diagnosis of PFH was made from a report by the subject of a history of recurrent haematoma in the fingers with a sudden, painful and unexpected occurrence. Diagnosis of associated conditions and evaluation of lifestyle variables were obtained through standardised medical interview and examination.
  
  
  RESULTS
  A history of PFH was detected in 71 subjects, with a prevalence of 1.2% in men and 12.4% in women; there was no significant regional variation. Onset before 40 years of age was rare. Besides female sex and age, no socio-economical nor lifestyle risk factors were detected. PFH was associated with Raynaud phenomenon and a history of chilblains, but no link with any health threatening disease was found. In addition to the sudden onset of pain and hematoma, the main clinical features were a frequent digital swelling during the painful attack, and their predominant location on the volar side of the first and second phalanges of the third or second fingers of the dominant hand.
  
  
  CONCLUSIONS
  PFH is a benign phenomenon, frequently found in middle-aged women, to be classified among the vascular acrosyndromes. Patients seeking medical evaluation for this disorder should be reassured.
authors.affiliation: 1 Department of Vascular Medicine, Grenoble University Hospital, France.
authors.forename: Patrick H
authors.initials: PH
authors.lastname: Carpentier
authors.affiliation: 2 Division of Rheumatology and Immunology, Department of Medicine, Medical University of South Carolina, USA.
authors.forename: Hildegard R
authors.initials: HR
authors.lastname: Maricq
authors.affiliation: 1 Department of Vascular Medicine, Grenoble University Hospital, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Biro
authors.affiliation: 1 Department of Vascular Medicine, Grenoble University Hospital, France.
authors.forename: Myriam
authors.initials: M
authors.lastname: Jiguet
authors.affiliation: 1 Department of Vascular Medicine, Grenoble University Hospital, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Seinturier
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D005385:Fingers / Q000098:blood supply*; D005602:France / Q000453:epidemiology; D006406:Hematoma / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011928:Raynaud Disease / Q000175:diagnosis / Q000453:epidemiology*; D012008:Recurrence; D018570:Risk Assessment; D012307:Risk Factors; D017678:Sex Distribution; D012737:Sex Factors; D055815:Young Adult
keywords: Haematoma; Raynaud’s disease; epidemiology; finger; prevalence; risk factors