Acute Non-Ischemic Idiopathic Blue Finger: Achenbach’s Syndrome. Case Report and Literature Review

  • Juan Ignacio Pérez Abdala Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0002-5398-6876
  • Javier Sánchez Saba Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-5496-3513
  • Ezequiel E. Zaidenberg Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0002-1535-0586
  • Gerardo Gallucci Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0002-0612-320X
  • Jorge Boretto Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-7701-3852
  • Pablo De Carli Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0002-9474-8129
  • Franco L. De Cicco Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-9844-140X
Keywords: Achenbach's syndrome, digital bruising, blue finger, paroxysmal haemorrhage

Abstract

Achenbach’s Syndrome (AS) is a pathology with low incidence and its etiology is unknown. It is characterized by the acute appearance of blue coloration in the finger without a triggering event and might be confused with an ischemic event. However, AS is a self-limited disease without sequelae. This case report is about a 75-year-old woman who presented sudden onset pain and purple coloration in the index finger of her right hand. Diagnostic tests were unhelpful and did not provide relevant information. She received symptomatic treatment, achieving complete resolution. The anamnesis and an exhaustive physical examination playa primary role in the suspicion; leaving diagnostic tests for the exclusion of other pathologies when they are required. We believe that knowing about this pathology allows a correct approach leading to an appropriate diagnosis.

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Author Biographies

Juan Ignacio Pérez Abdala, Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”,Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Javier Sánchez Saba, Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Ezequiel E. Zaidenberg, Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”,Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Gerardo Gallucci, Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”,Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Jorge Boretto, Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Pablo De Carli, Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Head of Service. Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”,Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Franco L. De Cicco, Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Head of Residents. Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina Hand and Upper Limb Surgery Sector, Instituto de Ortopedia y Traumatología “Prof. Dr. Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

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Published
2021-10-10
How to Cite
Pérez Abdala, J. I., Sánchez Saba, J., Zaidenberg, E. E., Gallucci, G., Boretto, J., De Carli, P., & De Cicco, F. L. (2021). Acute Non-Ischemic Idiopathic Blue Finger: Achenbach’s Syndrome. Case Report and Literature Review. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(5), 645-650. https://doi.org/10.15417/issn.1852-7434.2021.86.5.1182
Section
Case Presentations