Dupuytren's Diathesis

What is Dupuytren's Diathesis? Diathesis is a medical term meaning tendency toward a condition. One way of describing a person with Dupuytren's diathesis is that they have more of whatever Dupuytren's is. Diathesis usually means more aggressive Dupuytren's: earlier age of onset; more fingers involved; more often bilateral; faster progression; more recurrence problems. The hallmark is developing more than one member of the Dupuytren family: Dupuytren's; knuckle pads; Ledderhose; Peyronie's; frozen shoulder. More conditions means more aggressive biology. People with Dupuytren's diathesis are more likely to have ancestors with Dupuytren's and are more likely to pass Dupuytren's on to their children than people with only Dupuytren's. In this article, "Dupuytren's Diathesis: A Case Report" (full text: http://www.dupuytrenfoundation.org/DupPDFs/1964_Lettin.pdf), the difficulties experienced by a patient with Dupuytren's diathesis are described, as well as complcations from both surgery and radiation treatment. Diathesis is a persistent reminder that Dupuytren's is a systemic disorder which has many forms, and that we need to continue work to find a biological cure.

Dupuytren's and Associated Conditions

Dupuytren's is associated with three conditions, Ledderhose, Peyronie's and frozen shoulder. These all share a similar biology at a cellular level. Dupuytren's is also associated with other conditions, such as diabetes, alcoholism, epilepsy, advanced HIV for reasons which are less clear. Is Dupuytren's a risk factor for some of these other health issues or is it the other way around? This article reviews conditions associated with Dupuytren's and some thoughts on these associations: (full text: http://www.dupuytrenfoundation.org/DupPDFs/2005_Hart_1609.pdf). Although not discussed in this review, smoking tobacco also increases the risk of developing Dupuytren's disease, as discussed and referenced in this review (full text: http://www.dupuytrenfoundation.org/DupPDFs/2004_Conrad.pdf).