RT Journal
A1 Sagransky MJ, Pichardo-Geisinger RO, Muñoz-Ali D, Feldman SR, Mora DC, Quandt SA
T1 Pachydermodactyly from repetitive motion in poultry processing workers: A report of 2 cases
JF Archives of Dermatology
JO Archives of Dermatology
YR 2012
FD August 1
VO 148
IS 8
SP 925
OP 928
DO 10.1001/archdermatol.2012.983
UL http://dx.doi.org/10.1001/archdermatol.2012.983
AB Background 
                  Pachydermodactyly is a rare, benign, acquired form of digital fibromatosis. The etiology of pachydermodactyly is unknown but is believed to be due to repeated mechanical injury of the skin. We report 2 cases identified in poultry processing workers and review other conditions associated with these cutaneous findings.Observations 
                  The 2 workers in this report were employed as a chicken catcher and a chicken hanger. On examination, both workers had marked lateral thickening of the digits, with associated pain and pruritus. The workers' skin condition developed despite the use of protective gloves, and their symptoms improved when removed from work. However, the swelling due to fibromatosis persisted.Conclusions 
                  Similar cutaneous findings have been reported in other occupations exposing individuals to repetitive skin trauma, and many patients demonstrating a compulsive habit of hand manipulation. This supports the conclusion that pachydermodactyly in these patients reflects repeated skin trauma. Repetitive mechanical injury in the poultry processing environment can result in considerable compensatory tissue changes. Preventive measures are needed to protect workers.