Finger hematoma paroxysmal R23.3

Achenbach, 1958

Deep hematoma occurring spontaneously or after minor trauma on the volar side of individual fingers or the hand. It is a harmless disorder, but usually very distressing for those affected.

Venous rupture, probably vascular fragility, allergic-hyperergic vascular wall damage or neurovegetative disorders Possible minus variant of Raynaud's. Triggered e.g. by carrying shopping bags, typing.

Especially women over 30.

Fingers (especially on the volar side), rarely toes, palm.

Sudden shooting, stabbing pain in one or more fingers. Increasing swelling. 15-60 minutes later hematoma formation, possibly full digitus mortuus through compression.

Not necessary, possibly cooling, regression due to absorption within a few days.

Regression due to resorption within 1-2 weeks.

Analogue of the more familiar conjunctival hemorrhage.

1. Achenbach W (1958) The paroxysmal hand hematoma. Med Clinic 53: 2138-2140
2. Robertson A et al (2002) Paroxysmal finger haematomas (Achenbach's syndrome) with angiographic abnormalities. J Hand Surgery 27: 391-393
3. Stieler W et al (1990) Paroxysmal finger hematoma (Achenbach syndrome). Dermatologist 41: 270-271