Ann Dermatol.  2012 Aug;24(3):351-354. 10.5021/ad.2012.24.3.351.

Two Cases of Thrombosis of the Palmar Digital Vein

• Kim HY
• Cho EB
• Youn SH
• Park EJ
• Kwon IH
• Kim KH
• Kim KJ

• KMID: 2265311
• DOI: http://doi.org/10.5021/ad.2012.24.3.351

Abstract

Palmar digital vein thrombosis causing one or more nodules seems to be a relatively rare condition, judging by the dearth of reports in the literature. It should always be considered in a patient who presents with a painful, firm, blue nodule located at or in close proximity to one of the flexion crease of the finger. Common lesions presenting as one or more solid digital nodules are ganglions, epidermal inclusion cysts, giant cell tumors, and lipomas. Thrombosis of the palmar digital veins should, however, be part of the differential diagnosis of palmar digital nodules because it is possible to manage it conservatively. We report two cases of thrombosis of palmar digital vein in a 33-year-old woman and a 78-year-old man.

Keyword

Palmar digital; Thrombosis; Vein

MeSH Terms

Adult
Aged
Diagnosis, Differential
Female
Fingers
Ganglion Cysts
Giant Cell Tumors
Humans
Lipoma
Thrombosis
Veins

Figure

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  Fig. 1 Localized slightly bluish papule on the palmar area of right 4th finger.

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  Fig. 2 (A) Thin vascular wall and a partial thrombus in the dilated vascular space (H&E, ×40). (B) Thrombus consisted of aggregated red blood cell in the vascular space (H&E, ×400).

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  Fig. 3 Localized skin-colored papule on the palmar area of right 4th finger.

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  Fig. 4 (A) Thin vascular wall and a partial thrombus in the dilated vascular space (H&E, ×40). (B) Thrombus consisted of aggregated red blood cell in the vascular space (H&E, ×400).

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