Pachydermodactyly in an 11-Year-Old Female: A Multimodal Ultrasonography Perspective.

IF 1.4 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-10-11 DOI:10.1002/jcu.70106

Dao-Rong Hong, Chun-Yan Huang

引用次数: 0

Abstract

Background: Pachydermodactyly (PDD) is a rare benign fibromatosis that mimics inflammatory arthritis, posing diagnostic challenges in pediatric populations.

Case presentation: We report an 11-year-old female with unilateral proximal interphalangeal (PIP) joint swelling.

Imaging findings: Gray-scale ultrasound revealed symmetric dermal thickening (2.02 mm) with hypoechoic texture, while Doppler confirmed absent vascularity. Shear wave elastography demonstrated elevated tissue stiffness (shear wave velocity: 4.8 m/s).

Conclusion: This case underscores the utility of non-invasive multimodal ultrasonography in differentiating PDD from inflammatory arthropathies, avoiding unnecessary biopsies and therapies.

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11岁女性厚皮畸形：多模态超声透视。

背景：厚皮病（PDD）是一种罕见的类似炎症性关节炎的良性纤维瘤病，对儿科人群的诊断提出了挑战。病例介绍：我们报告一个11岁的女性单侧近端指间关节肿胀。影像学表现：灰度超示对称皮肤增厚（2.02 mm），低回声纹理，多普勒示无血管。横波弹性图显示组织刚度升高（横波速度：4.8 m/s）。结论：本病例强调了无创多模态超声检查在鉴别PDD与炎性关节病中的应用，避免了不必要的活检和治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.