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© 1994 British Society for Rheumatology

case-report

AN UNUSUAL CASE OF PERI-ARTICULAR SOFT TISSUE FINGER SWELLING IN AN ADOLESCENT MALE: PACHYDERMODACTYLY OR PACHYDERMOPERIOSTOSIS?

A. RAI and G. C. ZAPHIROPOULOS

Department of Rheumatology, Coventry and Warwickshire Hospital Coventry CV1 4FH

Benign soft tissue swelling affecting the interphalangeal joints can sometimes be misdiagnosed as an arthropathy. Garrods fatty pads (knuckle pad syndrome) is a relatively common and harmless condition characterized by discrete fibromatous skin pads over the dorsum of the interphalangeal joints. We describe a case which clinically resembles the rare but benign condition of pachydermodactyly with some pathological features of the distinct syndrome of pachydermoperiostosis. The possibility of an overlap syndrome is discussed.

KEY WORDS: Pachydermodactyly, Pachydermoperiostosis, Knuckle pad syndrome


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