{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T22:45:53Z","timestamp":1773009953254,"version":"3.50.1"},"reference-count":14,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,9,8]]},"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>An otherwise healthy young man was referred to the rheumatologist because of bilateral proximal interphalangeal (PIP) joint enlargements. The main concern was excluding the presence of inflammatory arthritis. Physical examination revealed bilateral PIP finger joints (II-IV) swellings and cutaneous thickenings in adjacent areas. The specificity of this case was the patient who appeared in the physician\u2019s room with his violin suitcase pointing to his profession even from the first site. Complete blood count with leucocyte differentials appeared without changes. Radiographics failed to show joint fluid or bony changes. All immunological markers (RF, anti-cyclic citrullinated peptide) and laboratory data (Erythrocyte sedimentation rate, C-reactive protein, etc) were within the reference ranges or negative. After exclusion of rheumatoid and other inflammatory arthritis, and considering the occupation of the patient and demographics the diagnosis of a rare condition\u2013pachydermodactyly was made.<\/jats:p>","DOI":"10.1136\/bcr-2022-250244","type":"journal-article","created":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T11:41:34Z","timestamp":1663846894000},"page":"e250244","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Pachydermodactyly: bilateral proximal interphalangeal joint swelling in an adolescent musician"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2748-3802","authenticated-orcid":false,"given":"Arshak","family":"Shahenyan","sequence":"first","affiliation":[{"name":"Department of Pathophysiology, Yerevan State Medical University Named after Mkhitar Heratsi, Yerevan, Armenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Svetlana","family":"Harutyunyan","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Yerevan State Medical University Named after Mkhitar Heratsi, Yerevan, Armenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margarita","family":"Nersisyan","sequence":"additional","affiliation":[{"name":"Ultrasound diagnostics, Wigmore Clinic Medical Center Yerevan, Yerevan, Armenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8241-8501","authenticated-orcid":false,"given":"Knarik","family":"Ginosyan","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Yerevan State Medical University Named after Mkhitar Heratsi, Yerevan, Armenia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,9,22]]},"reference":[{"key":"2025082801590337000_15.9.e250244.1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.160242"},{"key":"2025082801590337000_15.9.e250244.2","doi-asserted-by":"crossref","DOI":"10.12659\/AJCR.923344","article-title":"Pachydermodactyly: a case report of a little-known and benign form of digital fibromatosis","volume":"21","author":"Liew","year":"2020","journal-title":"Am J Case Rep"},{"key":"2025082801590337000_15.9.e250244.3","first-page":"455","article-title":"Pachydermie digitale des premieres phalanges PAR hyperplasie conjonctive dermique et aplasie hypodermique","volume":"80","author":"Bazex","year":"1973","journal-title":"Bull Soc Fr Dermatol Syphiligr"},{"key":"2025082801590337000_15.9.e250244.4","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1975.01630160114017"},{"key":"2025082801590337000_15.9.e250244.5","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.1007\/s00296-011-1895-x","article-title":"Unusual unilateral presentation of pachydermodactyly: a case report","volume":"32","author":"Ulusoy","year":"2012","journal-title":"Rheumatol Int"},{"key":"2025082801590337000_15.9.e250244.6","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1016\/j.ad.2010.02.008","article-title":"Paquidermodactilia: Una Forma poco frecuente de fibromatosis digital adquirida","volume":"101","author":"Morales Callaghan","year":"2010","journal-title":"Actas Dermosifiliogr"},{"key":"2025082801590337000_15.9.e250244.7","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1001\/archdermatol.2012.983","article-title":"Pachydermodactyly from repetitive motion in poultry processing workers: a report of 2 cases","volume":"148","author":"Sagransky","year":"2012","journal-title":"Arch Dermatol"},{"key":"2025082801590337000_15.9.e250244.8","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1007\/PL00013263","article-title":"[Pachydermodactyly. 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