Acute idiopathic blue fingers: A young man with Achenbach's syndrome

Hidemi Takeuchi, Haruhito Adam Uchida, Yuka Okuyama, Jun Wada

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We report a case of a 20-year-old man presenting with acute painful blue fingers. All physical findings, including an Allen test, were normal, and systematic symptoms frequently seen in collagen diseases were absent. Although we performed a wide variety of investigations including medical imaging, no specific abnormal findings were observed. Skin biopsy pathology was an important reference. The patient's symptoms gradually improved and were completely resolved without specific treatment. Based on the clinical presentation and course, we gave a diagnosis of Achenbach's syndrome, developed in a young male. Achenbach's syndrome is rare, but still may be encountered in clinical practice. The symptoms can be startling to the patient, eliciting fear of something terrible when, in fact, the syndrome is relatively benign and has a good prognosis. Recognising this disease quickly after presentation helps to eliminate the anxiety of the patient, as well as reducing excessively invasive investigations. We present a case report to enlighten Achenbach's syndrome.

Original languageEnglish
Article number586
JournalBMJ Case Reports
Volume2016
DOIs
Publication statusPublished - Apr 18 2016

Fingerprint

Fingers
Collagen Diseases
Diagnostic Imaging
Fear
Anxiety
Pathology
Biopsy
Skin
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Acute idiopathic blue fingers : A young man with Achenbach's syndrome. / Takeuchi, Hidemi; Uchida, Haruhito Adam; Okuyama, Yuka; Wada, Jun.

In: BMJ Case Reports, Vol. 2016, 586, 18.04.2016.

Research output: Contribution to journalArticle

@article{f532238675f648f89cf9ccdfa869b4e3,
title = "Acute idiopathic blue fingers: A young man with Achenbach's syndrome",
abstract = "We report a case of a 20-year-old man presenting with acute painful blue fingers. All physical findings, including an Allen test, were normal, and systematic symptoms frequently seen in collagen diseases were absent. Although we performed a wide variety of investigations including medical imaging, no specific abnormal findings were observed. Skin biopsy pathology was an important reference. The patient's symptoms gradually improved and were completely resolved without specific treatment. Based on the clinical presentation and course, we gave a diagnosis of Achenbach's syndrome, developed in a young male. Achenbach's syndrome is rare, but still may be encountered in clinical practice. The symptoms can be startling to the patient, eliciting fear of something terrible when, in fact, the syndrome is relatively benign and has a good prognosis. Recognising this disease quickly after presentation helps to eliminate the anxiety of the patient, as well as reducing excessively invasive investigations. We present a case report to enlighten Achenbach's syndrome.",
author = "Hidemi Takeuchi and Uchida, {Haruhito Adam} and Yuka Okuyama and Jun Wada",
year = "2016",
month = "4",
day = "18",
doi = "10.1136/bcr-2016-214491",
language = "English",
volume = "2016",
journal = "BMJ Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Acute idiopathic blue fingers

T2 - A young man with Achenbach's syndrome

AU - Takeuchi, Hidemi

AU - Uchida, Haruhito Adam

AU - Okuyama, Yuka

AU - Wada, Jun

PY - 2016/4/18

Y1 - 2016/4/18

N2 - We report a case of a 20-year-old man presenting with acute painful blue fingers. All physical findings, including an Allen test, were normal, and systematic symptoms frequently seen in collagen diseases were absent. Although we performed a wide variety of investigations including medical imaging, no specific abnormal findings were observed. Skin biopsy pathology was an important reference. The patient's symptoms gradually improved and were completely resolved without specific treatment. Based on the clinical presentation and course, we gave a diagnosis of Achenbach's syndrome, developed in a young male. Achenbach's syndrome is rare, but still may be encountered in clinical practice. The symptoms can be startling to the patient, eliciting fear of something terrible when, in fact, the syndrome is relatively benign and has a good prognosis. Recognising this disease quickly after presentation helps to eliminate the anxiety of the patient, as well as reducing excessively invasive investigations. We present a case report to enlighten Achenbach's syndrome.

AB - We report a case of a 20-year-old man presenting with acute painful blue fingers. All physical findings, including an Allen test, were normal, and systematic symptoms frequently seen in collagen diseases were absent. Although we performed a wide variety of investigations including medical imaging, no specific abnormal findings were observed. Skin biopsy pathology was an important reference. The patient's symptoms gradually improved and were completely resolved without specific treatment. Based on the clinical presentation and course, we gave a diagnosis of Achenbach's syndrome, developed in a young male. Achenbach's syndrome is rare, but still may be encountered in clinical practice. The symptoms can be startling to the patient, eliciting fear of something terrible when, in fact, the syndrome is relatively benign and has a good prognosis. Recognising this disease quickly after presentation helps to eliminate the anxiety of the patient, as well as reducing excessively invasive investigations. We present a case report to enlighten Achenbach's syndrome.

UR - http://www.scopus.com/inward/record.url?scp=84964816291&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84964816291&partnerID=8YFLogxK

U2 - 10.1136/bcr-2016-214491

DO - 10.1136/bcr-2016-214491

M3 - Article

C2 - 27090544

AN - SCOPUS:84964816291

VL - 2016

JO - BMJ Case Reports

JF - BMJ Case Reports

SN - 1757-790X

M1 - 586

ER -