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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent Sudden Pain Swelling And Discoloration Of Vein In Finger?

Have a 55 y/o WF with intermittent sudden onset of painful swelling and discoloration of vein in one finger of either hand, not related to any particular activities, no trauma. Denies h/o RA, never dx d with Raynauds. Pain, swelling, discoloration can last from 30 minutes to two hours, resolving on own. Has only + h/o migraines, rosacea and venous lake of lip, otherwise healthy. Taking statin and synthroid only. Any diagnosis?
Mon, 14 Aug 2017
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This could be due to thrombophlebitis, which is a superficial infection of a vein. The treatment is usually NSAIDs (such as ibuprofen) and warm compresses. I would try that first and see if that helps. Another possibility is hypothenar hammer syndrome - Hypothenar hammer syndrome (HHS) is caused by repetitive use of the hand as a hammer so that there is thrombosis of the superficial palmar arch of the ulnar artery. There is trauma over the hook of hamate, where the superficial branch of the palmar artery lies. This leads to vascular insufficiency of the ulnar side of the hand, which could lead to the symptoms you are describing. Usually this is found in people who do repetitive activities. I'd recommend an ultrasound of the vessels in your arm, which is a quick and non-invasive test.
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What Causes Intermittent Sudden Pain Swelling And Discoloration Of Vein In Finger?

This could be due to thrombophlebitis, which is a superficial infection of a vein. The treatment is usually NSAIDs (such as ibuprofen) and warm compresses. I would try that first and see if that helps. Another possibility is hypothenar hammer syndrome - Hypothenar hammer syndrome (HHS) is caused by repetitive use of the hand as a hammer so that there is thrombosis of the superficial palmar arch of the ulnar artery. There is trauma over the hook of hamate, where the superficial branch of the palmar artery lies. This leads to vascular insufficiency of the ulnar side of the hand, which could lead to the symptoms you are describing. Usually this is found in people who do repetitive activities. I d recommend an ultrasound of the vessels in your arm, which is a quick and non-invasive test.