Summary
Dupuytren's disease was first described by Baron Guillaume Dupuytren in 1831. He outlined
the pathology of palmar fascia thickening and contracture resulting in flexion of
one or more digits. Dupuytren's disease usually affects the little or ring fingers,
with the thumb rarely affected. Furthermore, the thumb in isolation is only affected
in 0.5% of cases, with contracture at the metacarpophalangeal joint. We present a
unique and interesting case of Dupuytren's disease predominantly of the thumbs, with
isolated contractures bilaterally at the interphalangeal joints, in a 59 year old
lady with epilepsy who was otherwise fit and well. To our knowledge this disease pattern
has never been reported in the literature. Furthermore a relevant literature review
of Dupuytren's disease affecting the thumb, in particular the interphalangeal joint,
is presented. Our interesting and unique case reinforces the notion that the disease
pathogenesis is diverse and multifactorial, and provides a further interesting example
for the literature.
Keywords
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References
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Article info
Publication history
Published online: June 04, 2012
Accepted:
April 26,
2012
Received:
March 11,
2012
Identification
Copyright
© 2012 Published by Elsevier Inc. All rights reserved.
