By Gary M. White, MD

Achenbach’s syndrome is the paroxysmal spontaneous subcutaneous bleeding in the fingers and hands. Although the cause is unknown, it is a self-limiting condition. Patients may seek medical care out of fear because of the sudden pain and bleeding; therefore, diagnosing this condition may relieve anxiety.


The patient experiences the sudden-onset of pain and bruising of one or several fingers.


No treatment is usually needed. The signs and symptoms usually resolved spontaneously within a week.


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