How is Dupuytren's disease diagnosed?

Dupuytren’s disease is diagnosed by a history and physical examination. Many people might not realize until asked that one or more family members had the same problem. Firm “lumps” or "cords" are in the palm and can extend towards the fingers, often the ring and small fingers. The degree of contracture determines what treatment(s) would be appropriate.

Dupuytren's disease develops slowly and may be hard to diagnose in its early stages. Most people do not see a doctor until the disease has progressed. A medical history and physical exam usually provide enough information for your doctor to determine whether you have Dupuytren's disease.

Questions about your medical history for Dupuytren's disease will usually include:

• Whether any close family members have been diagnosed with Dupuytren's disease or have had any similar symptoms.
• Your ethnic background.
• The symptoms and signs you've experienced and for how long.
• Whether you've noticed similar symptoms on the soles of your feet.
• Whether you've experienced any pain in your hand.
• Whether you have a history of smoking or alcoholism.
• Whether you have other medical conditions, such as diabetes.

A physical exam for Dupuytren's disease will usually include:

• Moving your hand and wrist in various positions.
• Moving your fingers to check for flexibility.
• Feeling the palm of your hand for a knot (nodule) or cord.
• Looking for any skin changes on your hand, such as dimpling or thickening on the palm.