Achenbach syndrome: a benign cause of blue finger illustrated by a case report

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Authors: Joana Margarida Reis, João Alves, José Alberto Ramos, Katarina Kiesel-Rodrigues, Marcelo Pacheco-Silva
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Abstract

Achenbach syndrome, or paroxysmal finger hematoma, is a benign vascular condition characterized by the sudden onset of pain, swelling, and bluish discoloration of the digits.Although self-limited, its dramatic presentation often leads to unnecessary investigations to exclude ischemic or thrombotic disease.We present a case of a 48-year-old female with acute-onset discoloration of the third finger and full spontaneous resolution within 1 week, illustrating the importance of recognizing this frequently underdiagnosed syndrome.

Fields of Study & Subjects

Case Reports on Hematomas Medical Case Reports and Studies Vascular Procedures and Complications

Publication details

Journal / source
Portuguese Journal of Dermatology and Venereology
Volume
84
Issue
2
Publication date
10 February 2026
Language
EN