Pachydermodactyly: An Underdiagnosed Condition in Adolescence—A Case Report and Literature Review

Pachydermodactyly (PDD) is a rare, underdiagnosed benign condition characterized by asymmetrical, bilateral fusiform swellings of the hands’ proximal interphalangeal (PIP) joints. In this type of digital fibromatosis, cutaneous thickening is thought to occur due to repetitive mechanical irritation....

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Main Authors: Mishari T. Alrubaiaan, Yousef H. Alharthi, Suliman Alfaraj
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/crdm/5560071
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author Mishari T. Alrubaiaan
Yousef H. Alharthi
Suliman Alfaraj
author_facet Mishari T. Alrubaiaan
Yousef H. Alharthi
Suliman Alfaraj
author_sort Mishari T. Alrubaiaan
collection DOAJ
description Pachydermodactyly (PDD) is a rare, underdiagnosed benign condition characterized by asymmetrical, bilateral fusiform swellings of the hands’ proximal interphalangeal (PIP) joints. In this type of digital fibromatosis, cutaneous thickening is thought to occur due to repetitive mechanical irritation. Furthermore, due to its striking clinical appearance, PDD is commonly overlooked or misdiagnosed as other inflammatory arthropathies or pachydermoperiostosis. In addition, because of its elusive nature and resemblance to more serious conditions, clinicians should be aware of this condition. Herein, we present a case of PDD and discuss the differential diagnoses to improve recognition and prevent misdiagnosis.
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spelling doaj-art-5d93d9b326fa49fe8ab474bb4fee298c2025-08-20T02:31:03ZengWileyCase Reports in Dermatological Medicine2090-64712025-01-01202510.1155/crdm/5560071Pachydermodactyly: An Underdiagnosed Condition in Adolescence—A Case Report and Literature ReviewMishari T. Alrubaiaan0Yousef H. Alharthi1Suliman Alfaraj2College of MedicineDepartment of Dermatology and Dermatologic SurgeryDepartment of Dermatology and Dermatologic SurgeryPachydermodactyly (PDD) is a rare, underdiagnosed benign condition characterized by asymmetrical, bilateral fusiform swellings of the hands’ proximal interphalangeal (PIP) joints. In this type of digital fibromatosis, cutaneous thickening is thought to occur due to repetitive mechanical irritation. Furthermore, due to its striking clinical appearance, PDD is commonly overlooked or misdiagnosed as other inflammatory arthropathies or pachydermoperiostosis. In addition, because of its elusive nature and resemblance to more serious conditions, clinicians should be aware of this condition. Herein, we present a case of PDD and discuss the differential diagnoses to improve recognition and prevent misdiagnosis.http://dx.doi.org/10.1155/crdm/5560071
spellingShingle Mishari T. Alrubaiaan
Yousef H. Alharthi
Suliman Alfaraj
Pachydermodactyly: An Underdiagnosed Condition in Adolescence—A Case Report and Literature Review
Case Reports in Dermatological Medicine
title Pachydermodactyly: An Underdiagnosed Condition in Adolescence—A Case Report and Literature Review
title_full Pachydermodactyly: An Underdiagnosed Condition in Adolescence—A Case Report and Literature Review
title_fullStr Pachydermodactyly: An Underdiagnosed Condition in Adolescence—A Case Report and Literature Review
title_full_unstemmed Pachydermodactyly: An Underdiagnosed Condition in Adolescence—A Case Report and Literature Review
title_short Pachydermodactyly: An Underdiagnosed Condition in Adolescence—A Case Report and Literature Review
title_sort pachydermodactyly an underdiagnosed condition in adolescence a case report and literature review
url http://dx.doi.org/10.1155/crdm/5560071
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AT sulimanalfaraj pachydermodactylyanunderdiagnosedconditioninadolescenceacasereportandliteraturereview