Spontaneous digital hematoma, Achenbach Sindrome

Introduction. The Achenbach syndrome was described in the '50s by the German physician Walter Achenbach and corresponds to an entity characterized by the appearance of ecchymosis or purpura and even bruises on the fingers and sometimes on the feet. It courses benignly and is self-limited. Metho...

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Autores principales: Picón Jaimes, Yelson Alejandro, Orozco Chinome, Javier Esteban, Molina-Franky, Jessica
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/24963
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id I10-R327-article-24963
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic hematoma
ecchymosis
fingers
hematoma
equimosis
dedos.
hematoma
equimose
dedo
spellingShingle hematoma
ecchymosis
fingers
hematoma
equimosis
dedos.
hematoma
equimose
dedo
Picón Jaimes, Yelson Alejandro
Orozco Chinome, Javier Esteban
Molina-Franky, Jessica
Spontaneous digital hematoma, Achenbach Sindrome
topic_facet hematoma
ecchymosis
fingers
hematoma
equimosis
dedos.
hematoma
equimose
dedo
author Picón Jaimes, Yelson Alejandro
Orozco Chinome, Javier Esteban
Molina-Franky, Jessica
author_facet Picón Jaimes, Yelson Alejandro
Orozco Chinome, Javier Esteban
Molina-Franky, Jessica
author_sort Picón Jaimes, Yelson Alejandro
title Spontaneous digital hematoma, Achenbach Sindrome
title_short Spontaneous digital hematoma, Achenbach Sindrome
title_full Spontaneous digital hematoma, Achenbach Sindrome
title_fullStr Spontaneous digital hematoma, Achenbach Sindrome
title_full_unstemmed Spontaneous digital hematoma, Achenbach Sindrome
title_sort spontaneous digital hematoma, achenbach sindrome
description Introduction. The Achenbach syndrome was described in the '50s by the German physician Walter Achenbach and corresponds to an entity characterized by the appearance of ecchymosis or purpura and even bruises on the fingers and sometimes on the feet. It courses benignly and is self-limited. Methods. We present the case of a 60-year-old woman who was diagnosed with this syndrome after performing laboratory tests, antibodies and images without finding alterations in them, with improvement after receiving analgesia and physical means. Results. The Achenbach syndrome continues to be an unknown entity, with few reports in the literature. Up to the year 2 016, 12 case reports had been identified worldwide, concluding that it is a pathology that mainly affects women between the fifth and sixth decade of life. Conclusion. Although this nosological entity is benign and its pathophysiology is not entirely clear, it is important that during the initial approach it is consulted for similar episodes in the past and if it is an acute event, look for other alterations such as delay in capillary refill, coldness distal, absence of pulses and thus discarding acute ischemic pathology with diagnostic exams.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/24963
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spelling I10-R327-article-249632024-08-27T18:25:17Z Spontaneous digital hematoma, Achenbach Sindrome Hematoma digital espontaneo, síndrome de Achenbach Hematoma digital espontânea, Sindrome de Achenbach Picón Jaimes, Yelson Alejandro Orozco Chinome, Javier Esteban Molina-Franky, Jessica hematoma ecchymosis fingers hematoma equimosis dedos. hematoma equimose dedo Introduction. The Achenbach syndrome was described in the '50s by the German physician Walter Achenbach and corresponds to an entity characterized by the appearance of ecchymosis or purpura and even bruises on the fingers and sometimes on the feet. It courses benignly and is self-limited. Methods. We present the case of a 60-year-old woman who was diagnosed with this syndrome after performing laboratory tests, antibodies and images without finding alterations in them, with improvement after receiving analgesia and physical means. Results. The Achenbach syndrome continues to be an unknown entity, with few reports in the literature. Up to the year 2 016, 12 case reports had been identified worldwide, concluding that it is a pathology that mainly affects women between the fifth and sixth decade of life. Conclusion. Although this nosological entity is benign and its pathophysiology is not entirely clear, it is important that during the initial approach it is consulted for similar episodes in the past and if it is an acute event, look for other alterations such as delay in capillary refill, coldness distal, absence of pulses and thus discarding acute ischemic pathology with diagnostic exams. Resumen Introducción. El síndrome de Achenbach fue descrito en los años 50’ por el médico alemán Walter Achenbach y corresponde a una entidad caracterizada por la aparición de equimosis o purpuras e incluso hematomas en los dedos de las manos y en algunas ocasiones de los pies. Cursa de forma benigna y es autolimitada. Métodos. Presentamos el caso de una mujer de 60 años a quien se diagnosticó este síndrome luego de realizar exámenes de laboratorio, anticuerpos e imágenes sin encontrar alteraciones en ellos, con mejoría luego de recibir analgesia y medios físicos. Resultados. El síndrome de Achenbach continúa siendo una entidad desconocida, con pocos reportes en la literatura. Hasta el año 2 016 se habían identificado 12 reportes de caso a nivel mundial concluyendo que es una patología que afecta principalmente a mujeres entre la quinta y sexta década de vida. Conclusión. Aunque esta entidad nosológica es benigna y su fisiopatología no está del todo clara, es importante que durante el abordaje inicial se consulte por episodios similares en el pasado y en caso de ser un evento agudo, buscar otras alteraciones como retardo en el llenado capilar, frialdad distal, ausencia de pulsos y de ese modo se descarte patología isquémica aguda con ayudas diagnosticas. Introdução. Síndrome achenbach foi descrito no 50' pelo médico alemão Walter achenbach e corresponde a uma condição caracterizada pelo aparecimento de lesões ou roxo e hematomas mesmo nos dedos das mãos e dos pés, por vezes. Cursa de maneira benigna e é autolimitada. Métodos. Relatamos o caso de uma paciente de 60 anos que esta síndrome após a realização de testes de laboratório, anticorpos e imagens sem encontrar anormalidades nos mesmos, com melhora depois de receber analgesia e mídia física foi diagnosticado. Resultados. A síndrome de Achenbach continua sendo uma entidade desconhecida, com poucos relatos na literatura. Até o ano 2 016, 12 relatos de casos foram identificados em todo o mundo, concluindose que é uma patologia que acomete principalmente mulheres entre a quinta e a sexta década de vida. Conclusão. Embora esta entidade doença é benigna e sua fisiopatologia não é totalmente clara, é importante que, durante a abordagem inicial é consultado por episódios semelhantes no passado e deve ser um evento agudo, procure outros distúrbios, tais como enchimento capilar retardado, frio distal, ausência de pulsos e, assim, descartar a patologia isquêmica aguda com auxiliares de diagnóstico. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-12-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/24963 10.31053/1853.0605.v76.n4.24963 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 76 No. 4 (2019); 257-260 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 76 Núm. 4 (2019); 257-260 Revista da Faculdade de Ciências Médicas de Córdoba; v. 76 n. 4 (2019); 257-260 1853-0605 0014-6722 10.31053/1853.0605.v76.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/24963/28570 https://revistas.unc.edu.ar/index.php/med/article/view/24963/29135 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0