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Dactylolysis Spontanea

Dactylysis Spontanea


Presentation

  • It may present as chronic fissuring at the base of the fifth toe or as foot ulceration. This condition is seldom seen in the United Kingdom, but it is likely that this condition is underdiagnosed.[ncbi.nlm.nih.gov]
  • The findings suggest that this condition is underdiagnosed and overlooked because its low prevalence and variable clinical presentations that might mimic more common etiologies, including localized trauma.[ncbi.nlm.nih.gov]
  • The present study is the first to present certain gross and semimicroscopic findings. Moreover, scanning electron microscopic and histochemical data are presented and these reportings are believed to be unique.[ncbi.nlm.nih.gov]
  • The patient presented 2 weeks later with increased pain. Triamcinolone-10 and 1% lidocaine were injected into the area. Figure 1 (A) Clinical presentation of ainhum with ‘band-like’ constriction of the left fifth digit.[casereports.bmj.com]
Fatigue
  • Heel pain may be caused by a number of different problems; for effective treatment you need More information AMERICAN VENOUS FORUM Revised Venous Clinical Severity Score AMERICAN VENOUS FORUM Pain : 0 Mild: 1 or other discomfort (ie, aching, heaviness, fatigue[docplayer.net]
Rigor
  • The rigorous review process does not allow any compromise in quality It is indexed in many indexing agencies and the articles are available under creative commons licence free of cost The frequency of publication supports many aspiring authors from India[jcdr.net]
Swelling of the Finger
  • Dactyledema Swelling of the fingers or toes. Dactylitis Inflammation of a whole digit. Due to tenosynovitis and often periostitis as well as arthritis. Seen in seronegative arthritis (typically psoriatic arthritis) and sarcoidosis.[healthdictionary.info]
Aspiration
  • The rigorous review process does not allow any compromise in quality It is indexed in many indexing agencies and the articles are available under creative commons licence free of cost The frequency of publication supports many aspiring authors from India[jcdr.net]
Heel Pain
  • Copyright 2006 Thomson Delmar Learning, Clifton Park, More information Heel Pain. Heel Pain. Heel Spurs Heel Pain In our pursuit of healthy bodies, pain can be an enemy. In some instances, however, it is of biological benefit.[docplayer.net]
Foot Pain
  • Pain is worse on ambulation and throbbing at night. The patient's medical history and family history are unremarkable. Neurovascular status is intact.[casereports.bmj.com]
Neurobehavioral Manifestation
  • Associated clinical features may include NEUROBEHAVIORAL MANIFESTATIONS; PERSISTENT VEGETATIVE STATE; DEMENTIA; and other disorders.[healthdictionary.info]

Workup

Pneumoperitoneum
  • At his tenth day of life, the patient presented vomiting and abdominal distention, presenting with radiological signs of pneumoperitoneum (Figure 1).[docksci.com]

Treatment

  • The spontaneous amputation of the fifth toe, designated as dactylolysis spontanea, has no known etiology, and no treatment short of amputation. The worldwide incidence of this condition is rare.[ncbi.nlm.nih.gov]
  • Broaden your knowledge with updated information on serological diagnosis of pemphigus, TNF-I for hidradenitis suppurativa, the use of immunosuppressives for atopic dermatitis, excimer laser for the treatment of vitiligo and much more.[books.google.es]
  • The treatment is focused on immediately finding and removing the constricting fiber. Surgical exploration is necessary if complete removal cannot be verified.[medigoo.com]
  • There are various forms of arthritis but the two that are the most common are osteoarthritis (OA), and rheumatoid arthritis More information Heel pain causes and treatments Heel pain causes and treatments Dr.[docplayer.net]

Prognosis

  • Prognosis - Ainhum Not supplied. Treatment - Ainhum Incisions across the groove turned out to be ineffective. Excision of the groove followed by z-plasty could relieve pain and prevent autoamputation in Grade I and Grade II lesions.[checkorphan.org]
  • Prognosis Outcome is related to the stage in ainhum when the disease is diagnosed. Pain may be severe in ainhum and in pseudoainhum.[emedicine.com]

Etiology

  • Associated diseases occurring in these patients appeared to have no specific etiologic correlation with ainhum.[ncbi.nlm.nih.gov]
  • Dactylolysis spontanea is a rare disease of unknown etiology, basically restricted to digits without systemic involvement.[ncbi.nlm.nih.gov]
  • Bilateral involvement of dactylolysis spontanea (Ainhum) in a 62-year-old female DOI: 10.15305/ijrci/v6i1/267 Abstract Ainhum, also known as ‘dactylolysis spontanea’, is a rare condition of unknown etiology.[chanrejournals.com]
  • Alvarenga Anti Loduca MD *‡ ; Giorgi, Rina Dalva Neubarth MD * ; Chahade, Wiliam Habib MD, PhD * doi: 10.1097/RHU.0b013e31829d517f Case Reports Abstract Author Information Authors Article Metrics Metrics Dactylolysis spontanea is a rare disease of unknown etiology[journals.lww.com]

Epidemiology

  • An English surgeon named Robert Clarke first described this strange and bizarre disease in an 1860 report to the Epidemiological Society of London, but he did not recognize it as a distinct entity and conceived it to be a consequence of " Suppressed Yaws[mysteriesrunsolved.com]
  • Prévalence, Afro Américain, Ethnie, Homme, Partie molle, Orteil, Peau pathologie, Pied pathologie, Système ostéoarticulaire pathologie, Radiodiagnostic Mots-clés Pascal anglais : Ainhum, Clinical form, Exploration, Radiography, Medical screening, Foot, Epidemiology[bdsp.ehesp.fr]
  • The first description of ainhum in the West appears to have been provided by English surgeon Robert Clarke, who made a passing reference to "dry gangrene of the little toe" as a common occurrence in the Gold Coast in an 1860 report to the Epidemiological[en.wikipedia.org]
  • Intralesional injection of corticosteroids is also helpful. [2] Epidemiology [ edit ] Ainhum predominantly affects black people, living in West Africa , South America and India .[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • A multidisciplinary team of leading world experts presents the state of the art in scar pathophysiology and treatment, breaking down the barriers between medical disciplines to provide unprecedented holistic guidance.[books.google.it]
  • When associated with chronic trauma and infection of the extremities, the pathophysiology may be identical to true ainhum. ...[mhmedical.com]
  • Pathophysiology In true ainhum, dactylolysis of a toe (most commonly, but not always, [4, 5] the fifth toe) most likely is triggered by trauma; however, the true cause remains unknown. The trauma may be related to walking barefoot in the tropics.[emedicine.com]

Prevention

  • Put today’s most advanced clinical approaches to work for your patients with The Scar Book: Formation, Mitigation, Rehabilitation, and Prevention![books.google.it]
  • Early diagnosis is crucial to prevent amputation.[medigoo.com]
  • Excision of the groove followed by z-plasty or treated with disarticulating the metatarsophalangeal joint with intralesional injection of corticosteroids could relieve pain and prevent the autoamputation process.[mysteriesrunsolved.com]
  • Congenital pseudoainhum cannot be prevented and can lead to serious birth defects. Incisions across the groove turned out to be ineffective.[en.wikipedia.org]
  • The radiological evaluation allows for an early diagnosis, preventing spontaneous amputation. REFERENCES Machado BB, Lima CMAO, Junqueira FP, et al. Magnetic resonance imaging in intersection syndrome of the forearm: iconographic essay.[scielo.br]

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