There is a layer of tissue,called fascia, under the skin of palm which helps to keep the skin from sliding around when we grip things. In some people, this tissue thickens and shrinks, and pulls on the skin and and on the fingers(figure 1).
Dupuytren’s disease is observed usually in men over 40. Frequency is more in diabetic ones. Ring and small fingers are affected more. Any relationship between patient’s occupation and the disease is not proven.
Swollen and bent fingers are seen in the examination. Extension is limited depending on the severity of the disease. Palmar noduls are typically painless. Sometimes it is confused with trigger finger at the early stages. Patients have serious difficulties in hand washing, hand shaking, wearing gloves etc….. Progress rate changes from patient to patient.
