ABSTRACT
BACKGROUND: Ainhum and pseudoainhum are the conditions identified by the presence of a constriction band, usually over the extremities. CASE DETAILS: We report a case of pseudoainhum in a Caucasian female with underlying chronic lower limb peripheral arterial disease (PAD). The management of pseudoainhum in patients with PAD is discussed. CONCLUSION: Revascularization of the limb should be considered in the management of patients with pseudoainhum when it is associated with severe PAD. Improved tissue perfusion prevents further ischemia and reduces the risk of developing nonhealing ulcers.
Subject(s)
Ainhum/pathology , Constriction, Pathologic/pathology , Ischemia/pathology , Toes/blood supply , Aged, 80 and over , Ainhum/therapy , Angioplasty, Balloon , Chronic Disease , Constriction, Pathologic/therapy , Female , Humans , Ischemia/therapy , Lower Extremity/blood supplyABSTRACT
Pseudo-ainhum is an auto-amputation of the digits. Although extremely rare, it is a traumatic and painful experience that can be alleviated with early recognition and intervention. The scientific literature is filled with reports of this interesting but unfortunate phenomenon. To date, a firm causative aetiology has not yet been established. Although reports on this phenomenon have attempted to further our understanding of pseudo-ainhum, a clear understanding has been complicated by the interchangeable use of terms describing this auto-amputation. In this review, we discuss the current understanding, diagnostic criteria, and management of pseudo-ainhum. Furthermore, the nomenclature of pseudo-ainhum is clarified. Ideally, this will allow for more efficient exploration of pseudo-ainhum, its causes, and therapeutic approaches.
Subject(s)
Ainhum , Amputation, Surgical , Ainhum/diagnosis , Ainhum/epidemiology , Ainhum/etiology , Ainhum/therapy , Diagnosis, Differential , Humans , PrevalenceABSTRACT
Se presenta un caso de dactylolisis criptogenética familiar. Se analiza su incidencia en edad, sexo y raza y se exponen las distintas teorías actuales de su etiología. Se describen sus aspectos histológicos, así como el cuadro clínico en esta entidad. Se realiza un estudio del diagnóstico positivo y diferencial. Se esboza el tratamiento que se siguió en nuestro caso, así como los resultados del mismo (AU)
Subject(s)
Middle Aged , Humans , Female , Ainhum/genetics , Ainhum/diagnosis , Ainhum/therapy , Diagnosis, DifferentialABSTRACT
Se presenta un caso de dactylolisis criptogenética familiar. Se analiza su incidencia en edad, sexo y raza y se exponen las distintas teorías actuales de su etiología. Se describen sus aspectos histológicos, así como el cuadro clínico en esta entidad. Se realiza un estudio del diagnóstico positivo y diferencial. Se esboza el tratamiento que se siguió en nuestro caso, así como los resultados del mismo