What history is characteristic of digital mucous cysts (DMCs)?

Updated: Jul 31, 2018
  • Author: Murad Alam, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Typically, the cysts are asymptomatic. They may appear suddenly or develop over a period of months. Grooving of the nail may precede the clinical manifestation of the cyst itself by up to 6 months. Often, osteoarthritis of the small joints is noted at the site of cyst emergence. Intermittent spontaneous discharge of cyst contents can occur, and, in a significant fraction of cases, cysts may disappear spontaneously.

Antecedent trauma has been documented in a small minority of cases. As cysts enlarge, pain is an increasingly common complaint. Patients are also likely to complain about the appearance of larger cysts and may report interference with function.


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