University of Wisconsin–Madison Medical College of Wisconsin

Achenbach Syndrome in Primary Care: A Case Report

Paula Aguirre-Bejarano, MD; Eduardo Tuta-Quintero, MD; Claudia Mora-Karam, MD; Sergio Quiroga-Segura, MD; Juan Pimentel, MD

WMJ. 2023;122(1):74-76.

Download full-text pdf.


Paroxysmal hematoma of the fingers, or Achenbach syndrome, is a rare vascular disorder of benign course and unknown etiology. The clinical manifestations are sudden onset, paroxysmal spontaneous subcutaneous hematomas, and edema and pain in the fingers and hands. The clinical course is self-limited and does not leave permanent sequela. The diagnosis is clinical, and complementary studies are often unnecessary. We present the clinical case of a 69-year-old woman diagnosed with Achenbach syndrome in a primary care center in Colombia.

Author Affiliations: Department of Medicine, Hospital San Rafael de Pacho, Pacho, Colombia (Aguirre-Bejarano, Quiroga-Segura); Department of Internal Medicine, University of La Sabana. Chía, Colombia (Tuta-Quintero, Mora-Karam); Department of Family Medicine and Public Health, University of La Sabana, Chía, Colombia (Pimentel).
Corresponding Author: Eduardo Tuta-Quintero, MD, Facultad de Medicina Edificio H Kilómetro 7 autopista norte. Campus Universitario puente del común, Chía, Colombia; email; phone +57 3204954596; ORCID ID 0000-0002-7243-2238
Financial Disclosures: None declared.
Funding/Support: None declared.
Share WMJ