By Gary M. White, MD
Dupuytren's contracture is thickening of the palm in a linear fashion, typically affecting the ring ringer and potentially limiting its mobility.
- The incidence increases with age and is 5 times more common in men than women.
- In one study, the little finger was involved most commonly (49%), followed by the ring finger (32%) [J Hand Surgery 2006;31;514].
A fibrous hyperplasia of the palmar fascia forming dimpling, nodularity, linear cords and flexion of one or more fingers in an older man is characteristic.
Treatment is usually carried out by a non-dermatologist. Of note, radiotherapy can be an effective and safe option for early disease [JEADV 2016;30;1694].
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