Fibrous Tissue Abnormalities – Knuckle Pads

Knuckle Pads, also called heloderma, are a common skin condition that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.   Clinically, Knuckle Pads are firm round plaques that form as thickenings over the dorsal portion of the finger joints.  They reach sizes of approximately 1cm and typically persist indefinitely.  Usually, they are flesh colored but can also be hyperpigmented.  Knuckle Pads usually have a genetic component.  Treatment is difficult but intralesional kenalog injections can be beneficial.