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Abstract

Also called “acute idiopathic blue finger” or “paroxysmal finger hematoma,” Achenbach syndrome is a benign collection of findings that is often mistaken for more serious conditions. Characteristically presenting with discrete unexplained bruising or discoloration of the volar aspect of one or two fingers, it is a diagnosis that physicians should include on their differential given its innocuous course and excellent outcomes, without need for invasive testing or intervention. The purpose of this case report therefore is to increase awareness of this rare condition, especially among emergency department physicians and internists, in order to minimize the incidence of unnecessary testing, procedures, and psychological burden.

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