Copyright
©The Author(s) 2019.
World J Clin Cases. May 26, 2019; 7(10): 1103-1110
Published online May 26, 2019. doi: 10.12998/wjcc.v7.i10.1103
Published online May 26, 2019. doi: 10.12998/wjcc.v7.i10.1103
Table 1 Demographic data of patients
Variable | n or mean ± SD | % or min-max |
Age | 47.91 ± 11.72 | 21-67 |
Female | 20 | 83.33 |
Male | 4 | 16.67 |
Family history | 1 | 4.1 |
Bruising elsewhere | 2 | 8.3 |
Diabetes | 3 | 12.5 |
Hypertension | 7 | 29.1 |
Smoking | 4 | 16.6 |
Alcohol | 0 | - |
Antiplatelet use | 0 | - |
Anticoagulant use | 0 | - |
Pathology in arterial duplex ultrasonography | 0 | - |
Pathology in venous duplex ultrasonography | 0 | - |
Table 2 Laboratory data of patients
Parameter | mean (min-max) | Reference range |
White blood cell, × 103/μL | 7.84 (4.2-13.4) | 4-11 |
Red blood cell, × 106 /μL | 5.07 (3.8-6.4) | 4.6-6.2 |
Hemoglobin, g/dL | 15.06 (11.4-19.2) | 14-18 |
Hematocrit, % | 45.62 (34.2-57) | 42-52 |
Platelets, × 103/μL | 246.95(152-356) | 150-400 |
International normalized ratio | 1.05 (0.82-1.18) | 0.8-1.2 |
Prothrombin time, s | 11.79 (10.8-12.8) | 10.7-13.0 |
Active partial thromboplastin time, s | 29.54 (24-36) | 22-36.9 |
C-reactive protein, mg/L | 4.18 (0.8-8.4) | 0-8 |
Sedimentation, mm/h | 13.45 (2-24) | 0-24 |
Low density lipoprotein, mg/dL | 130.83 (48-184) | < 160 |
Triglycerides, mg/dL | 150.37 (36-252) | < 203 |
Pulse oximeter, SpO₂% | 96.8 (94-100) | 95-100 |
Table 3 Achenbach’s syndrome symptoms and location features
Symptom / location | n or mean | % or min-max |
Swollen | 13 | 54.1 |
Pain | 24 | 100 |
Paresthesia | 9 | 37.5 |
Bruising | 24 | 100 |
Mean episode count | 3.04 | 1-6 |
Thumb | 4 | 16.6 |
Index finger | 8 | 33.3 |
Middle finger | 7 | 29.1 |
Ring finger | 3 | 12.5 |
Little finger | 1 | 4.1 |
Other, Palmar, wrist, etc | 1 | 4.1 |
Right hand | 13 | 54.1 |
Left hand | 11 | 45.8 |
Table 4 Differential diagnoses
Differential diagnosis | |
Raynaud’s syndrome or phenomenon | Thoracic outlet syndrome |
Spontaneous digital venous thrombosis | Trauma |
Gardner-Diamond syndrome | Collagen vascular disease |
Atherosclerosis | Buerger disease |
Takayasu arteritis | Ulnar artery thrombosis |
Giant cell arteritis | Radial artery thrombosis |
Aneurysmal disease producing emboli | Microemboli |
Vibration-induced injury | Polycythemia |
Cold injury | Cryoglobulinemia |
Dermatitis artefacta | Spontaneous rupture of the vincula |
Acute limb ischemia | Chilblain’s disease |
Acrocyanosis | Acrorygosis |
- Citation: Ada F, Kasimzade F. Analysis of 24 patients with Achenbach's syndrome. World J Clin Cases 2019; 7(10): 1103-1110
- URL: https://www.wjgnet.com/2307-8960/full/v7/i10/1103.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v7.i10.1103