Recalcitrant ‘knuckle pads’: a revisited case
Knuckle pads are under reported benign well-defined thickened skin plaques usually overlying the extensor aspect of the small joints of the hands. Primary knuckle pads are a fibromatous disease that may be seen in several inherited fibromatosis and keratoderma syndromes. Secondary knuckle pads are d...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Journal of the Egyptian Women’s Dermatologic Society |
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| Online Access: | https://journals.lww.com/10.4103/jewd.jewd_27_24 |
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| author | Enas Attia |
| author_facet | Enas Attia |
| author_sort | Enas Attia |
| collection | DOAJ |
| description | Knuckle pads are under reported benign well-defined thickened skin plaques usually overlying the extensor aspect of the small joints of the hands. Primary knuckle pads are a fibromatous disease that may be seen in several inherited fibromatosis and keratoderma syndromes. Secondary knuckle pads are distinctly different from primary knuckle pads, acquired by repetitive trauma, and dermoscopy may aid in diagnosis. We hereby report a case of a female patient with recalcitrant knuckle pads for 8 years, that were confused with psoriasis or erythrokeratoderma. However, after repeated consultations, they were found to be due to body-focused repetitive behaviour of recurrent skin biting, denoting dermatodaxia. After the condition was explained, the patient consciously refrained from biting her knuckles with improvement within a few weeks. |
| format | Article |
| id | doaj-art-d09d31ae67d34e1a9dc6910edc7c4eaf |
| institution | Kabale University |
| issn | 2090-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Egyptian Women’s Dermatologic Society |
| spelling | doaj-art-d09d31ae67d34e1a9dc6910edc7c4eaf2025-01-20T04:39:34ZengWolters Kluwer Medknow PublicationsJournal of the Egyptian Women’s Dermatologic Society2090-25652025-01-01221929410.4103/jewd.jewd_27_24Recalcitrant ‘knuckle pads’: a revisited caseEnas AttiaKnuckle pads are under reported benign well-defined thickened skin plaques usually overlying the extensor aspect of the small joints of the hands. Primary knuckle pads are a fibromatous disease that may be seen in several inherited fibromatosis and keratoderma syndromes. Secondary knuckle pads are distinctly different from primary knuckle pads, acquired by repetitive trauma, and dermoscopy may aid in diagnosis. We hereby report a case of a female patient with recalcitrant knuckle pads for 8 years, that were confused with psoriasis or erythrokeratoderma. However, after repeated consultations, they were found to be due to body-focused repetitive behaviour of recurrent skin biting, denoting dermatodaxia. After the condition was explained, the patient consciously refrained from biting her knuckles with improvement within a few weeks.https://journals.lww.com/10.4103/jewd.jewd_27_24body focused repetitive behaviourdermatodaxiaknuckle padsobsessive compulsive disorderskin biting |
| spellingShingle | Enas Attia Recalcitrant ‘knuckle pads’: a revisited case Journal of the Egyptian Women’s Dermatologic Society body focused repetitive behaviour dermatodaxia knuckle pads obsessive compulsive disorder skin biting |
| title | Recalcitrant ‘knuckle pads’: a revisited case |
| title_full | Recalcitrant ‘knuckle pads’: a revisited case |
| title_fullStr | Recalcitrant ‘knuckle pads’: a revisited case |
| title_full_unstemmed | Recalcitrant ‘knuckle pads’: a revisited case |
| title_short | Recalcitrant ‘knuckle pads’: a revisited case |
| title_sort | recalcitrant knuckle pads a revisited case |
| topic | body focused repetitive behaviour dermatodaxia knuckle pads obsessive compulsive disorder skin biting |
| url | https://journals.lww.com/10.4103/jewd.jewd_27_24 |
| work_keys_str_mv | AT enasattia recalcitrantknucklepadsarevisitedcase |