eMedicine Specialties > Dermatology > Benign Neoplasms

Dupuytren Contracture: Differential Diagnoses & Workup

Author: Felisa S Lewis, MD, Resident Physician, National Capital Consortium Dermatology Program, Walter Reed Army Medical Center
Coauthor(s): Theresa Dressler Conologue, DO, FAAD, Physician, Department of Dermatology, Geisinger Medical Center; Kristina Shaffer, MD, MPH, Consulting Staff, Department of Dermatology, Dermatology Consultants
Contributor Information and Disclosures

Updated: May 5, 2009

Differential Diagnoses

Other Problems to Be Considered

Callus
Epithelioid sarcoma (rare condition; tends to be progressive and becomes more diffuse than a localized Dupuytren nodule or cord)
Ganglion cyst
Stenosing tenosynovitis
Giant cell tumor of the tendon sheath
Prolapsed flexor tendon
Ulnar nerve palsy
Camptodactyly
Fibromas and fibromatoses

Workup

Laboratory Studies

Diabetes mellitus has been associated with Dupuytren contracture. A fasting blood glucose level should be obtained if diabetes mellitus is suggested by the patient's clinical history and physical examination findings.

Imaging Studies

Ultrasonography of a thickened cord may be useful prior to intralesional injections so that the underlying tendon can be identified and avoided during the injection.

More on Dupuytren Contracture

Overview: Dupuytren Contracture
Differential Diagnoses & Workup: Dupuytren Contracture
Treatment & Medication: Dupuytren Contracture
Follow-up: Dupuytren Contracture
References
Further Reading

References

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Keywords

Dupuytren contracture, Dupuytren's disease, Dupuytren disease, Dupuytren's contracture, palmar fibromatosis, fibrosis of the palmar fascia, flexure contraction of the digits, proximal interphalangeal joint contracture, PIP joint contracture, PIP contracture, metacarpophalangeal joint contracture, MCP joint contracture, MCP contracture, palmar contracture

Contributor Information and Disclosures

Author

Felisa S Lewis, MD, Resident Physician, National Capital Consortium Dermatology Program, Walter Reed Army Medical Center
Felisa S Lewis, MD is a member of the following medical societies: American Academy of Dermatology, International Society of Dermatology, and Women's Dermatologic Society
Disclosure: Nothing to disclose.

Coauthor(s)

Theresa Dressler Conologue, DO, FAAD, Physician, Department of Dermatology, Geisinger Medical Center
Theresa Dressler Conologue, DO, FAAD is a member of the following medical societies: American Academy of Cosmetic Surgery, American Academy of Dermatology, and American Society for Laser Medicine and Surgery
Disclosure: Nothing to disclose.

Kristina Shaffer, MD, MPH, Consulting Staff, Department of Dermatology, Dermatology Consultants
Kristina Shaffer, MD, MPH is a member of the following medical societies: American Academy of Dermatology
Disclosure: Nothing to disclose.

Medical Editor

Evan R Farmer, MD, Professor of Dermatology, Johns Hopkins University School of Medicine, Clinical Professor of Pathology, Virginia Commonwealth University School of Medicine; Consulting Staff, Department of Dermatology, Johns Hopkins Hospital, VCU Health Services
Evan R Farmer, MD is a member of the following medical societies: American Academy of Dermatology, American Dermatological Association, American Medical Association, American Society of Dermatopathology, and International Society of Dermatology
Disclosure: Nothing to disclose.

Pharmacy Editor

David F Butler, MD, Professor of Dermatology, Texas A&M University College of Medicine; Chair, Department of Dermatology, Director, Dermatology Residency Training Program, Scott and White Clinic
David F Butler, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Association of Military Dermatologists, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Managing Editor

Jeffrey J Miller, MD, Associate Professor of Dermatology, Penn State University College of Medicine; Staff Dermatologist, Penn State Milton S Hershey Medical Center
Jeffrey J Miller, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, Association of Professors of Dermatology, North American Hair Research Society, and Society for Investigative Dermatology
Disclosure: Nothing to disclose.

CME Editor

Catherine Quirk, MD, Clinical Assistant Professor, Department of Dermatology, Brown University
Catherine Quirk, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Dermatology
Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD, Director, Department of Dermatology, Geisinger Medical Center
Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology
Disclosure: Nothing to disclose.

 
 
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