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Unusual presentation of more common disease/injury
Aggressive Dupuytren's diathesis in a young woman
  1. Ivan Couto-Gonzalez,
  2. Beatriz Brea-Garcia,
  3. Antonio Taboada-Suárez,
  4. Eduardo González-Álvarez
  1. Department of Plastic and Reconstructive Surgery, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain
  1. Correspondence to Ivan Couto-Gonzalez, ivan_couto{at}


Dupuytren's disease is a palmar fascia pathology characterised by flexion contracture of the involved fingers in late stages. It has been described a higher prevalence in northern populations, especially in men in the fifth or sixth decade of life.1 Alcohol consumption, liver disease, diabetes mellitus, epilepsy and some of its treatments, tobacco smokers or hand workers are only a example of the different aetiologies proposed. There are a group of patients presenting with more aggressive clinical manifestation named Dupuytren's diathesis. This subtype could frequently present a positive family history, ectopic fibromatosis and bilateral hand affectation.

The authors present a 24-year-old woman referred to the Plastic Surgery Department because severe fingers contracture with an associated aggressive plantar fibromatosis. She referred familial history in her first degree relatives (mother and three of seven brothers and sisters). The first clinical manifestations in her hand began when she was 7 years old.

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  • Competing interests None.

  • Patient consent Obtained.

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