Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
, 45 (1), 57-62

Paroxysmal Finger Haematoma--A Benign Acrosyndrome Occurring in Middle-Aged Women

Multicenter Study

Paroxysmal Finger Haematoma--A Benign Acrosyndrome Occurring in Middle-Aged Women

Patrick H Carpentier et al. Vasa.


Background: Paroxysmal finger haematoma (PFH) is an under-recognised vascular acrosyndrome with no epidemiological description to date. The aim of this work was to evaluate the prevalence, risk factors and clinical correlates of PFH in a population-based sample of subjects and to describe their semiological characteristics.

Patients and methods: This cross-sectional study of random samples of the general population in three geographic areas of France involved 802 subjects, 548 women and 254 men, aged 18 to 84 years. The diagnosis of PFH was made from a report by the subject of a history of recurrent haematoma in the fingers with a sudden, painful and unexpected occurrence. Diagnosis of associated conditions and evaluation of lifestyle variables were obtained through standardised medical interview and examination.

Results: A history of PFH was detected in 71 subjects, with a prevalence of 1.2% in men and 12.4% in women; there was no significant regional variation. Onset before 40 years of age was rare. Besides female sex and age, no socio-economical nor lifestyle risk factors were detected. PFH was associated with Raynaud phenomenon and a history of chilblains, but no link with any health threatening disease was found. In addition to the sudden onset of pain and hematoma, the main clinical features were a frequent digital swelling during the painful attack, and their predominant location on the volar side of the first and second phalanges of the third or second fingers of the dominant hand.

Conclusions: PFH is a benign phenomenon, frequently found in middle-aged women, to be classified among the vascular acrosyndromes. Patients seeking medical evaluation for this disorder should be reassured.

Keywords: Haematoma; Raynaud’s disease; epidemiology; finger; prevalence; risk factors.

Similar articles

See all similar articles

Cited by 3 PubMed Central articles

  • Achenbach Syndrome: A Benign Painful Blue Finger With Tip Sparing
    K Yie. Vasc Specialist Int 35 (4), 251-253. PMID 31915672. - Case Reports
    Vascular surgeons are often consulted for patients with spontaneous painful discoloration of fingers and toes. In most cases, no diagnosis can be ascertained after extens …
  • Analysis of 24 Patients With Achenbach's Syndrome
    F Ada et al. World J Clin Cases 7 (10), 1103-1110. PMID 31183341.
    Further research is needed to clarify Achenbach's syndrome and to develop a diagnosis and treatment algorithm. As the awareness of this syndrome increases, large amounts …
  • Achenbach Syndrome
    K Notomi et al. CMAJ 191 (21), E584. PMID 31133606.

Publication types

MeSH terms

LinkOut - more resources