A Case Report of Secretan's Disease in Both Hands

Secretan's disease is a rare clinical condition with recurrent or persistent hard swelling and hyperplasia on the dorsal aspect of the hand with peritendinous fibrosis around the extensor tendons. Although it is usually believed to involve a hand with preceding traumatic injury, here we present a case of Secretan's disease occurring in both hands without obvious trauma history in a 73-year-old fe- male, with clinical, radiological, and histological findings. The magnetic resonance imaging exhibited an ill-defined infiltrative mass-like lesion with homogenous dark signal intensity on T1 and T2-weighted images in the dorsal subcutaneous layer of the hand. The lesion showed no obvious enhancement during contrast- enhanced T1-weighted images. Microscopic examination of surgical specimen indicated marked fibrosis.