High-pressure paint-gun injury of the finger simulating giant cell tumor of tendon sheath.

Abstract:

:High-pressure paint guns deliver paint at approximately 3000 pounds per square inch. At this pressure, paint will penetrate the skin and spread quickly through fascial planes and tendon sheaths. The present case is that of a lesion from the finger of a 35-year-old white male in whom a history was initially unavailable. Histologic examination revealed diffuse fibrohistiocytic proliferation and giant cells, with numerous darkly pigmented, uniformly small-sized particles throughout the lesion. The initial impression was that of a giant cell tumor of tendon sheath. However, the pigment particles were negative for Perls stain, and polariscopic examination revealed clear refractile fragments. These findings raised the possibility that the lesion was the result of a traumatic event. On further inquiry, it was revealed that the patient had sustained a high-pressure paint-gun injury 1 year earlier. The simulation, histopathologically, of a giant cell tumor of tendon sheath by a high-pressure paint-gun injury has not, to our knowledge, been reported previously, nor has the histologic finding of small, uniformly sized pigment particles and polarizable refractile fragments in this particular type of injury.

journal_name

J Cutan Pathol

authors

Stefanato CM,Turner MS,Bhawan J

doi

10.1111/j.0303-6987.2005.00279.x

keywords:

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

179-83

issue

2

eissn

0303-6987

issn

1600-0560

pii

CUP279

journal_volume

32

pub_type

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