Eosinophilic fasciitis: an uncommon cause of edema.

Rapid clinical diagnosis is important as it will reassure patients and avoid unnecessary tests and studies and inappropriate treatment. While the association between pachydermodactyly and psychiatric morbidity is uncommon, given its importance, we believe that all patients diagnosed with pachydermodactyly should be evaluated by a psychiatrist, and particularly those who repeatedly interlock or rub their hands, causing finger friction. These patients would benefit from adequate psychological and/or psychiatric treatment, and partial remission of pachydermodactyly lesions has been reported following the elimination of the causes of repetitive minor trauma.