Combined Thenar and Hypothenar Hammer Syndromes and Raynaud's Phenomenon Successfully Treated with Iloprost.
Thenar and hypothenar hammer syndromes are uncommon conditions characterised by digital ischemia of the hand as a result of repetitive trauma at level of the thenar and/or hypothenar eminence and damage to the radial and/or ulnar arteries, respectively. The symptoms are related to the mechanism of the trauma and a Raynaud's phenomenon can be predominant for a long time. The angiography is the "gold standard" imaging technique which allows to confirm the diagnosis. Therapeutic strategy depends on the type of the lesion and severity of symptoms and includes pharmacological (antithrombotic and thrombolytic drugs) and surgical treatments. The authors present a case of a 53-year-old man, carpenter by profession, with combined thenar and hypothenar hammer syndromes and Raynaud's phenomenon, successfully treated with a short course of intravenous infusion of iloprost.
Rheumatology Department, Betsi Cadwaladr University Health Board, Glan Clwyd Hospital, Bodelwyddan, Denbighshire, Wales LL18 5UJ, UK.
Alessandro
0000-0002-3224-1760
A
Ciapetti
Radiology Department, Polytechnic University of the Marche, 60020 Ancona, Italy.
Marina
M
Carotti
Rheumatology Department, Polytechnic University of the Marche, Jesi, 60035 Ancona, Italy.
Marco
M
Di Carlo
Rheumatology Department, Polytechnic University of the Marche, Jesi, 60035 Ancona, Italy.
Fausto
F
Salaffi