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🔴 Diagnosis: Achenbach syndrome (paroxysmal finger hematoma) 📍 Sudden blue/purple discoloration of a single finger ± pain/swelling, often after minor/no trauma 🧠 Benign spontaneous subcutaneous bleed from small digital vessels (not true ischemia) ⚡️ Usually self-limited (resolves in days); pulses/warmth typically preserved 💡 Reassure cold compress/NSAIDs; rule out acute ischemia if finger is cold, pale, numb, or pulseless | إستشاري امراض الباطنة والكبد د محمد الجمال
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