Paroxysmal hand hematoma

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Paroxysmal hand hematoma
Other names: Achenbach syndrome
Paroxysmal hand hematoma Achenbach syndrome doigt bleu 02.jpg
Paroxysmal hand hematoma Achenbach syndrome; it appears often on the internal surface of the finger and rather under the middle finger or forefinger at the joints of the first or second phalanx.
SymptomsAchenbach's is of unknown etiology, however, it is also not a cause for concern. While it can look unsightly - the finger turns shades of purple and red and can swell, the condition resolves by itself.

Paroxysmal hand hematoma is a skin condition characterized by spontaneous focal hemorrhage into the palm or the volar surface of a finger, which results in transitory localized pain, followed by rapid swelling and localized blueish discoloration.[1]: 828 

Lesion after biopsy

See also


  1. James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 978-0-7216-2921-6.

2. New England Journal of Medicine, 376;26 June 29, 2017.