A 52-year-old female physician with stage I hypertension (average seated blood pressure,
146/98 mm Hg) developed sudden-onset sharp throbbing pain in the tip of the left index
finger followed by the development of splinter hemorrhages in the nail bed and cyanosis
of the tuft of the same finger. A local cardiologist in the community administered
amlodipine (5 mg daily), both to treat the hypertension and what he presumed was an
atypical manifestation of Raynaud phenomenon. There was no history of collagen vascular
disorder, fever, chills, dental work, skin lesions, or intravenous lines. Despite
extensive medical history-taking, she could not recollect any trauma occurring to
her finger or hand before the development of the pain.
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References
- Bilateral thenar hammer syndrome as a result of cumulative trauma.J Hand Surg. 1997; 22: 1081-1083
- Work related vascular injuries of the hand-hypothenar hammer syndrome.N Engl J Med. 2002; 347: 339
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Article Info
Publication History
Accepted:
August 25,
2005
Received in revised form:
August 25,
2005
Received:
August 5,
2005
Footnotes
Section Editor: Michael A. Bettman, MD
Identification
Copyright
© 2005 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
