Dupuytren's

Introduction to Dupuytren’s Disease

Dupuytren’s disease, also known as Dupuytren’s contracture, is a hand condition that develops over years. The disease affects a layer of tissue that lies under the skin of your palm. Knots of tissue form under the skin — eventually creating a thick cord that can pull one or more fingers into a bent position.

The Progression of Dupuytren’s Disease

The progression of Dupuytren’s disease is slow and usually painless. The condition begins as a thickening of the skin on the palm of your hand. As it progresses, the skin on your palm might appear puckered or dimpled. A firm lump of tissue can form on your palm. This lump might be sensitive to the touch but usually isn’t painful.

In later stages of Dupuytren’s disease, cords of tissue form under the skin on your palm and can extend up to your fingers. As these cords tighten, your fingers might be pulled toward your palm, sometimes severely.

Symptoms and Diagnosis

The first sign of Dupuytren’s disease is often a thickening or pitting of the skin on the palm of the hand. As the disease progresses, the skin may begin to feel tight. A lump or nodule may develop in the palm of the hand. The nodule may be tender to the touch but usually is not painful. In many cases, the disease will progress slowly and cause little trouble. However, in severe cases, the affected fingers can’t be straightened, complicating daily activities.

Causes and Risk Factors

The exact cause of Dupuytren’s disease is unknown, but it is thought to run in families. This suggests that genetic factors are involved. Certain factors are associated with a higher risk of developing the disease, including age, family history, sex, and Northern European descent. The condition is more common among men than women.

Treatment Options

While there is no cure for Dupuytren’s disease, there are treatments available to help manage the symptoms. If the disease progresses, your doctor may recommend surgical options to remove or break apart the cords that are pulling your fingers toward your palm. You can also do exercises at home to help maintain the mobility of your fingers.

Conclusion

Dupuytren’s disease is a condition that affects the hands and fingers. Although it can be disabling, treatments are available to manage the symptoms and improve quality of life. If you notice changes in your hands, consult with a healthcare provider to get a proper diagnosis and treatment plan.