Dupuytren's (Vikings) Disease

Members do not see these Ads. Sign Up.

Have any of you come across this before?
I had a gentleman present today suffering from Dupuytrens Disease. A very rare condition in about 1-2% of the population, with Nordic origins.
It typically presents as a Palmar Fibromatosis in the hands; however, it can develop in the Plantar Fascia of the feet also.
He basically had these fairly large firm nodules running along the Plantar Fascia - two on the right & 5 on the left.
(Of course, I didn't have a camera on me today - sorry no pics; I'll try to get some next time).
He has custom-made orthoses which help offload the area to a degree. They aren't particularly painful however, aside from a corn which has been developing in the larger right nodule.
Apparently surgical intervention is fairly useless as they typically re-form quite quickly.
Never seen anything like it...made for an interesting day...

 

Not in the feet but my Dad has it in the hand and he is not Nordic

 

seen two now , bound to see another soon, bit like buses

 

I see plantar fibromatosis (ledderhose disease) 'fairly' often. GP's will refer for surgical excision. We have had some good results, we have also had total re-occurrence with further scar tissue development. We counsel patients that they will more than likely re-occur.

Some people offer intra lesional steroid. There a few trying topical Verapamil (Nifedipine) as it encourages production of collagenase.

I would like to see further work on the back of current treatment for Dupuytren's Disease, quite a few hand specialist are injecting collagenase directly (in fact for the UK lot this was on embarrassing bodies recently) with good results but a quite a high rupture rate, I'm interested in its use in the foot. We shall see, particularly interesting disease though, even the oncologists sometimes get involved in treatment (Radiotherapy).

George

 

Seen a good handful of cases I can think of. Anecdotally I would say that if it's been present on the plantar surface it's more often than not been present on the palmar surface, but less so the other way round.

Had one or two present as incidental findings- not always problematic- I think I probably go looking for it as a good excuse to say 'ledderhose disease' out load but that's just me. Think there's a few good threads on here about it.

 

Hi Nat,

I'm seeing one case at present. He also has been told that it's the Viking disease and that even when you don't think so, DNA testing has shown the link.

I will see about getting photos next week. It started in his Left hand and he has the full contracture of his ring finger and partial in the pinky with only a small nodule.

A few years after it started in the hand he developed a few nodules in his left foot.
One was painful as it developed a "corn"

Cheers
Shane