Painful heterotopic pacinian corpuscle in the hand: a report of three cases.

Department of Orthopaedic and Neuro-Musculoskeletal Surgery, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto 860-8556, Japan.
Hand Surgery 01/2011; 16(1):81-5. DOI: 10.1142/S0218810411005114
Source: PubMed

ABSTRACT Severe pain in the finger caused by an abnormal Pacinian corpuscle is a rare condition. We have recently encountered three patients diagnosed with a heterotopic Pacinian corpuscle, based on histopathological findings. When making a differential diagnosis of unexplained severe pain in the finger, abnormal Pacinian corpuscles must be taken into account in addition to glomus tumour and other types of painful soft-tissue tumour.

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    ABSTRACT: The authors present two cases of hyperplasia of Pacinian corpuscles, one in the hand and another in the foot. In the hand the corpuscles were located along the radial border of the pulp of the little finger and presented with localised sharp pain. In the foot, it presented as metatarsalgia in association with Morton's neuroma of the second web space. Both patients underwent exploration and excision of the lesion with complete resolution of symptoms.
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