Document Detail


Chronic nonhealing ulcer in a finger of a toddler--a rare presentation of the hair thread tourniquet syndrome.
MedLine Citation:
PMID:  18986455     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Hair-thread tourniquet syndrome is caused by a strand of hair or thread tightly wrapped around an appendage. Affected parts include toes, phallus, fingers, clitoris, labia and even uvula. This disorder can be quite serious if not promptly recognized and treated; permanent tissue damage or even loss of the appendage can occur. MATERIAL: A rare and delayed presentation of hair-thread tourniquet syndrome as a non-healing, discharging ulcer in a two-year-old child is presented. RESULTS: Identification of the fiber with loupes, complete removal of the fiber, and a dorsal longitudinal incision made to ensure complete release of any fibrotic constriction bands were the components of successful management in this child. CONCLUSIONS: Successful treatment depends on prompt recognition of the problem and alleviation of constriction, be it simple removal of the offending agent or surgical exploration and release. Medical professionals caring for children and parents should be made aware of the signs and symptoms of this rare but dangerous condition to ensure early diagnosis and prompt appropriate management.
Authors:
S Kumaravel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of dermatology     Volume:  47     ISSN:  1365-4632     ISO Abbreviation:  Int. J. Dermatol.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-06     Completed Date:  2009-03-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243704     Medline TA:  Int J Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1174-6     Citation Subset:  IM    
Affiliation:
Department of Paediatric Surgery, Indira Gandhi Government General Hospital & PGI, Pondicherry, India. drskvel@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Child, Preschool
Chronic Disease
Constriction, Pathologic
Female
Finger Injuries / diagnosis,  pathology*
Hair
Humans
Skin Ulcer / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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