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13 Possible Causes for Autoamputation of Digits, Self Mutilation

  • Lesch Nyhan Syndrome

    This syndrome is characterized clinically by mental retardation, chorea, athetosis, hyperuricemia, uricosuria and self-mutilation.[] Self-mutilative behavior is a hallmark of the disease. Hyperuricemia leads to hyperuricuria and uric acid nephrolithiasis.[] To present a clinical case of LNS and describe pediatric dentistry management in patients with self-mutilating behavior. Male patient, 7 years old, LNS carrier.[]

  • Channelopathy-Associated Congenital Insensitivity to Pain

    Since affected individuals do not respond appropriately to painful situations, they engage in self-mutilating behavior such as biting of the oral mucosa and fingers and sustain[] They also noticed self- mutilating behavior like biting of his tongue, chewing his fingers, bruising, and manipulation the wounds.[] On examination, there were signs of self-mutilation in the form of ulcerations of the lower lip, tongue, and oral mucosa [Figure 3].[]

  • Familial Dysautonomia

    They include dental trauma; dental and soft tissue self-mutilation; normal dental age; normal sequence and timing of eruption and exfoliation of teeth; smaller tooth size;[] Oro-dental features include a lack of tongue fungiform papillae, impairment of taste, oro-dental self-mutilation, dental crowding, excessive plaque and calculus accumulation[] Both are the result of oro-dental self- mutilation 13.[]

  • Lytic Bone Lesion

    […] of digits; [Feet]; Acroosteolysis; Acral ulceration leading to autoamputation of digits SKIN, NAILS, HAIR: [Skin]; Hyperhidrosis, episodic; Anhidrosis, patchy; Ulcerations[] Because of the inability to feel pain, affected infants and children may suffer repeated injuries and may demonstrate behaviors that cause injury to themselves (self-mutilation[] Later-forming, constricting, fibrous bands appear on the digits and can lead to progressive strangulation and autoamputation.[]

  • Harlequin Type Ichthyosis

    Letter to the Editor Noteworthy clinical findings of harlequin ichthyosis: digital autoamputation caused by cutaneous constriction bands in a case with novel ABCA12 mutations[] […] body modifications, including self mutilation and more… All materials on Best Gore are age restricted and access is limited to adults only.[] Of 45 children, 5 developed autoamputation of digits due to constricting skin bands.[]

  • Tibia Varum

    Vascular occlusion and osteomyelitis may cause autoamputation of multiple digits in the hands or feet.[] Dramatic acral osteolysis may result from self-mutilating behavior, which can be complicated by soft tissue infection and osteomyelitis ( Fig. 7.10 ).[] PA view of the left hand of a two-year-old with Riley–Day syndrome shows variable amputation of the distal phalanges of the second to fourth fingers (arrows) due to self-mutilating[]

  • Hereditary Sensory Radicular Neuropathy

    […] of digits; [Feet]; Acroosteolysis; Acral ulceration leading to autoamputation of digits SKIN, NAILS, HAIR: [Skin]; Hyperhidrosis, episodic; Anhidrosis, patchy; Ulcerations[] Self-mutilation and insensitivity to pain result in orthopedic complications and patients undergone recurrent surgical interventions with anesthesia.[] Initial symptoms include swallowing and feeding problems, apnea, and self-mutilation. The sensory deficits begin with numbness in the hands and feet.[]

  • Navajo Neurohepatopathy

    Symptoms of Navajo neurohepatopathy Clinical features : Imported from Human Phenotype Ontology (HPO) Abnormality of limbs Acral ulceration and osteomyelitis leading to autoamputation[] […] addition to the signs and symptoms described above, people with Navajo neurohepatopathy may have problems with sensing pain that can lead to painless bone fractures and self-mutilation[] Navajo neurohepatopathy includes the above manifestations, as well as fractures, mutilation and autoamputation of the digits, and eye problems.[]

  • Ehlers-Danlos Syndrome Type Progeroid

    […] of digits Decreased number of small peripheral myelinated nerve fibers Postural hypotension with compensatory tachycardia Frontal bossing Malar flattening Lack of skin elasticity[] CONGENITAL, WITH ANHIDROSIS; CIPA Hereditary sensory and autonomic neuropathy, type 4 (HSAN4) is an inherited disorder characterized by anhidrosis, insensitivity to pain, self-mutilating[] […] intolerance Recurrent corneal erosions Pain insensitivity Corneal ulceration Hypotrichosis of the scalp Abnormality of dental color Palmar hyperkeratosis Neuropathic arthropathy Autoamputation[]

  • 3Beta-Hydroxy-Delta5-C27-Steroid Oxidoreductase Deficiency

    […] of digits Neuropathic arthropathy Inflammatory abnormality of the skin Osteolytic defects of the phalanges of the hand Foot acroosteolysis Ainhum Eczema Cerebral calcification[] […] acroosteolysis Ainhum Eczema Cerebral calcification Lymphoma Nevus Abdominal distention Mononeuropathy Seizures Vomiting Depressivity Anxiety Irritability Generalized osteoporosis Self-mutilation[] Paronychia Spontaneous abortion Type I diabetes mellitus Decreased taste sensation Painless fractures due to injury Acral ulceration Hypocalcemia Hypoplasia of dental enamel Autoamputation[]

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