| The acute blue finger: management and outcome. | |
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MedLine Citation:
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PMID: 18701013 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The objective was to assess the management, and short- and longer-term outcome of patients presenting with an acute blue finger. PATIENTS AND METHODS: This was a retrospective, case-note review and prospective follow-up by telephone and general practitioner enquiry. All patients who presented with sudden onset blue discolouration of a finger within the previous 72 h, with normal radial and ulnar pulses, were included. RESULTS: From 2000 to 2006, 22 patients, 15 female, 7 male, were reviewed. Median age was 56 years (range, 19-88 years). Median time from onset of blue finger was 6 days (range 1 day to 3 months). In most cases (17), no underlying cause was identified. Five patients had an underlying cause; two had symptoms compatible with Raynaud's phenomenon, one patient had signs (later confirmed on MRA) of arterial thoracic outlet syndrome and two had polycythaemia (haemoglobin > 17 g/dl). Otherwise, all laboratory investigations were normal. Upper limb duplex, echocardiogram and 24-h cardiac tapes were normal in all cases. Median follow-up was 19 months. Three patients had recurrent symptoms in the finger. No patient suffered tissue loss or loss of digit(s), and none had stroke or arterial embolisation. CONCLUSIONS: The acute blue finger is a benign condition not suggestive of arterial embolisation. Tissue or digit loss is not a threat and, in the longer term, there is no threat of embolisation to other vascular sites. |
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Authors:
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R Cowen; T Richards; A Dharmadasa; A Handa; J M T Perkins |
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Publication Detail:
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Type: Journal Article Date: 2008-08-12 |
Journal Detail:
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Title: Annals of the Royal College of Surgeons of England Volume: 90 ISSN: 1478-7083 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-10-03 Completed Date: 2009-02-04 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: England |
Other Details:
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Languages: eng Pagination: 557-60 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, The John Radcliffe, Oxford, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Aged Aged, 80 and over Female Fingers / blood supply* Follow-Up Studies Humans Ischemia / etiology, therapy* Male Middle Aged Treatment Outcome Young Adult |
| Comments/Corrections | |
Comment In:
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Ann R Coll Surg Engl. 2009 May;91(4):354
[PMID:
19416593
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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