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Knuckle pads

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Lu, Yong; Guo, Chenhong; Liu, Qiji; Zhang, Xiyu; Cheng, Lin; Li, Jiangxia; Chen, Bingxi; Gao, Guimin; Zhou, Haibin; Guo, Yishou; Li, Yefu; Gong, Yaoqin (2003-03-21). "A novel mutation of keratin 9 in epidermolytic palmoplantar keratoderma combined with knuckle pads".
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Knuckle pads can also be acquired subsequent to trauma. In sports like boxers and swimmers, as well as in some occupations like carpet layers, secondary knuckle pads are well-documented. Knuckle pads have also been reported in individuals suffering from
124:(MCP) joints. Knuckle pads are often asymptomatic, painless, and progressive in their growth, reaching their final size of up to 40 mm in diameter. They also do not cause any functional impact on the joints, such as decreased flexibility or altered 111:
Knuckle pads are benign subcutaneous fibrotic nodules that are seen in the finger joints and/or the extensor area of the foot. From a clinical perspective, these are well-defined, non-compressible, freely moveable lesions that resemble
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In the lack of targeted and efficacious treatments, a stressful wait-and-see strategy is typically advised. Surgery has also been utilized, though typically without producing a change in appearance. Potential adverse effects include
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CAROLI, A.; ZANASI, S.; MARCUZZI, A.; GUERRA, D.; CRISTIANI, G.; RONCHETTI, I. PASQUALI (1991). "Epidemiological and Structural Findings Supporting the Fibromatous Origin of Dorsal Knuckle Pads".
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A small number of treatments have shown promise recently, but they are frequently moderately to highly invasive and are primarily based on case reports. Intralesional
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Kelenjian, Shinorik; Mattjie, Rebeca Assuncao; Franz, Regina; Biedermann, Tilo; Brockow, Knut (2019). "Clinical features and management of superficial fibromatoses".
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Hasbún, Catalina; Sandoval, Mauricio; Curi, Maximiliano (2019-03-18). "A novel treatment for idiopathic knuckle pads with cantharidin-podophylotoxin-salicylic acid".
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If the insult that caused the acquired knuckle pads is removed, it should heal in a matter of months, similar to what happens in cases of repetitive trauma.
80:, fibrous thickening that may develop at any age, and grow to be 10 to 15mm in diameter in the course of a few weeks or months, then go away over time. 1765: 1503: 1185:"Successful treatment of idiopathic knuckle pads with a combination of high-dose salicylic acid and urea topical keratolytics: A case report" 819:
Barrick, Carl; Moran, Joshua; Oram, Christian; Purcell, Stephen (2018). "Acrokeratoelastoidosis and knuckle pads coexisting in a child".
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Peterson, Christopher M.; Barnes, Cheryl J.; Davis, Loretta S. (2000). "Knuckle Pads: Does Knuckle Cracking Play an Etiologic Role?".
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Calikoğlu, Emel (2003). "Pseudo-knuckle pads: an unusual cutaneous sign of obsessive-compulsive disorder in an adolescent patient".
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Tamborrini, Giorgio; Gengenbacher, Michael; Bianchi, Stefano (2012-12-30). "Knuckle pads – a rare finding".
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The diagnosis of knuckle pads is clinical.  The differential diagnosis includes retained foreign objects,
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Weiss, E; Amini, S (2007). "A Novel Treatment for Knuckle Pads With Intralesional Fluorouracil".
258: 171: 99:, and tend to recur after surgery; however, there has been some effectiveness with intralesional 1901: 1716: 1597: 163: 1362: 1896: 1928: 1643: 1633: 1556: 1512: 167: 77: 1449: 8: 1810: 1805: 1576: 1563: 1546: 1387: 1161: 223: 1711: 1663: 1628: 1392: 1217: 1184: 959: 796: 763: 504: 476: 447: 254: 246:
improve the information-gathering process and lower the possibility of a misdiagnosis.
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Chandler, Zachary; Seamon, Kimberly; Ramsubeik, Karishma; Kaeley, Gurjit (2022).
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Dickens, Rio; Adams, Brian B.; Mutasim, Diya F. (2002). "Sports-related pads".
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are among the hereditary syndromes in which knuckle pads may be observed.
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Herold, Manfred; Russe-Wilflingseder, Katharina; Longo, Leonardo (2010).
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Sogliani, Davide; Mura, Chiara; Tamborrini, Giorgio (2021-04-13).
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have all been successfully applied, according to certain authors.
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Knuckle pads show up as noncompressible, dome-shaped, hypoechoic
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Since the pathogenesis is yet unclear, knuckle pads are usually
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Gönül, Müzeyyen; Gül, Ülker; Hizli, Pelin; Hizli, Ömer (2012).
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Nenoff, Pietro; Woitek, Gerald (2011-06-23). "Knuckle Pads".
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De Keersmaeker, Alexander; Vanhoenacker, Filip (2016-07-12).
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Paller, Amy S. (1986-09-01). "Knuckle Pads in Children".
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Indian Journal of Dermatology, Venereology and Leprology
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Knuckle Pads—A common problem but good to treat by Laser
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and as peripheral or nonexistent vascularization on
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Journal der Deutschen Dermatologischen Gesellschaft
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Andrews' Diseases of the Skin: Clinical Dermatology
1100: 1098: 896: 757: 755: 695: 693: 691: 689: 687: 647: 616:(51). Medical Communications Sp. z.o.o.: 493–498. 140:. They are a fibromatous illness characterized by 1766:Shoulder injury related to vaccine administration 413: 411: 389: 64:lizard for which it is named, are circumscribed, 1955: 1150:Archives of Pediatrics & Adolescent Medicine 989:Kanerva, L. (1998). "Knuckle pads from boxing". 580:. AIP Conference Proceedings. pp. 179–183. 265:, the pads show enhanced proliferation of (myo-) 1095: 752: 684: 116:and primarily affect the dorsal portion of the 1176: 1156:(9). American Medical Association (AMA): 915. 939: 603: 601: 599: 597: 595: 474: 408: 1497: 890: 643: 641: 639: 358:Mackey, SL; Cobb, MW (1994). "Knuckle pads". 76:. They are described as well-defined, round, 1058: 847: 1247:American Journal of Medical Genetics Part A 1067:(25). Massachusetts Medical Society: 2451. 1052: 706:Journal of the Belgian Society of Radiology 592: 470: 468: 83:Knuckle pads are sometimes associated with 1504: 1490: 636: 537: 390:James, WD; Berger, TG; Elston, DM (2005). 357: 40: 1511: 1216: 1023: 914: 795: 727: 717: 475:Meinecke, R; Lagier, R (September 1975). 417: 385: 383: 381: 1552:Stenosing tenosynovitis (Trigger finger) 1141: 465: 394:(11th ed.). Saunders. p. 595. 988: 571: 569: 533: 531: 529: 527: 525: 1956: 1147: 982: 378: 351: 160:epidermolytic palmoplantar keratoderma 91:, and histologically, the lesions are 1485: 420:"Knuckle Pads in Dupuytren's Disease" 230:. When a diagnosis is unclear, plain 106: 60:, meaning similar to the skin of the 1162:10.1001/archpedi.1986.02140230085039 948:International Journal of Dermatology 899:"A family of Bart-Pumphrey syndrome" 566: 522: 16:Disease of the skin of human fingers 1756:Adhesive capsulitis of the shoulder 1195:(1). PAGEPress Publications: 9072. 418:Mikkelsen, Otto (October 1, 1977). 13: 1237: 960:10.1046/j.1365-4362.2002.01356_3.x 702:"Imaging Features of Knuckle Pads" 14: 1980: 1319: 1113:(3). SAGE Publications: 258–262. 1026:The Turkish Journal of Pediatrics 1296:10.1046/j.1525-1470.2000.01819.x 269:, which is frequently linked to 120:(PIP) and, less frequently, the 1964:Dermal and subcutaneous growths 1061:New England Journal of Medicine 991:European Journal of Dermatology 152:Acrokeratoelastoidosis of Costa 909:(2). Scientific Scholar: 178. 1: 1761:Shoulder impingement syndrome 1604:Tenosynovial giant cell tumor 477:"Pathology of "knuckle pads"" 436:10.1016/S0072-968X(77)80121-6 344: 184:obsessive-compulsive disorder 1583:Synovial osteochondromatosis 1119:10.1016/0266-7681(91)90049-t 552:10.1001/archderm.143.11.1458 334:List of cutaneous conditions 276: 193: 7: 327: 68:, fibrous growths over the 10: 1985: 712:(1). Ubiquity Press, Ltd. 610:Journal of Ultrasonography 1910: 1873: 1866: 1834: 1789: 1744: 1725: 1704: 1695: 1614: 1528: 1519: 1435: 1339: 729:10067/1343460151162165141 131: 29: 24: 1801:Iliotibial band syndrome 313:, and topical high-dose 242:is not conclusive), and 118:proximal interphalangeal 1934:Aggressive fibromatosis 1924:Dupuytren's contracture 1107:Journal of Hand Surgery 916:10.4103/0378-6323.93636 424:Journal of Hand Surgery 85:Dupuytren's contracture 1598:villonodular synovitis 1073:10.1056/nejmicm1008915 622:10.15557/jou.2012.0037 176:Bart-Pumphrey syndrome 74:interphalangeal joints 1969:Soft tissue disorders 1513:Soft tissue disorders 1290:(6). Wiley: 450–452. 1284:Pediatric Dermatology 1253:(3). Wiley: 345–349. 954:(5). Wiley: 291–293. 768:Clinical Case Reports 656:(4). Wiley: 544–545. 650:Pediatric Dermatology 1929:Plantar fibromatosis 1557:De Quervain syndrome 1259:10.1002/ajmg.a.20090 1201:10.4081/dr.2021.9072 719:10.5334/jbr-btr.1096 172:Ledderhose's disease 168:plantar fibromatosis 1811:Achilles tendinitis 1806:Patellar tendinitis 1577:osteochondromatosis 1564:Transient synovitis 1547:Calcific tendinitis 1189:Dermatology Reports 164:Dupuytren's disease 122:metacarpophalangeal 1712:Ligamentous laxity 1436:External resources 493:10.1007/BF00434037 204:rheumatoid nodules 144:growth leading to 107:Signs and symptoms 1951: 1950: 1947: 1946: 1862: 1861: 1858: 1857: 1771:Rotator cuff tear 1691: 1690: 1683:Calcific bursitis 1479: 1478: 868:10.1111/ddg.13808 780:10.1002/ccr3.6740 662:10.1111/pde.13803 586:10.1063/1.3453778 546:(11): 1447–1462. 49: 48: 19:Medical condition 1976: 1871: 1870: 1839: 1794: 1749: 1742: 1741: 1702: 1701: 1526: 1525: 1506: 1499: 1492: 1483: 1482: 1337: 1336: 1331:Cleveland Clinic 1315: 1278: 1231: 1230: 1220: 1180: 1174: 1173: 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Index

Specialty
Rheumatology
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heloderma
Gila monster
keratotic
dorsa
interphalangeal joints
plaque-like
Dupuytren's contracture
camptodactyly
fibromas
corticosteroids
fluorouracil
warts
proximal interphalangeal
metacarpophalangeal
tendons
idiopathic
fibroblast
fibrosis
Acrokeratoelastoidosis of Costa
camptodactyly
epidermolytic palmoplantar keratoderma
Dupuytren's disease
plantar fibromatosis
Ledderhose's disease
Bart-Pumphrey syndrome
obsessive-compulsive disorder
bulimia nervosa

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