Korambayil Pradeoth Mukundan, Padikala Anto Francis
Consultant Plastic Surgeon, Sushrutha Institute of Plastic Reconstructive and Aesthetic Surgery, Elite Mission Hospital, Thrissur, Kerala, India.
Indian J Plast Surg. 2011 Sep;44(3):521-4. doi: 10.4103/0970-0358.90846.
Dupuytren's disease of the hand has only been rarely reported in children and is rarer still in infants. Only a few histologically confirmed diagnoses are found in literature. We report a case in a 4-month-old infant with Dupuytren's disease of palm and thumb who required surgery at 6 months of age. Histology confirmed the diagnosis of Dupuytren's disease. The purpose of this report is to show the importance of differential diagnosis of nodules and fibrotic bands in children's hands as paediatric patients may be seen by a variety of treating physicians, not only plastic surgeons or pathologists.
手部的杜普伊特伦挛缩病在儿童中鲜有报道,在婴儿中更为罕见。文献中仅有少数经组织学确诊的病例。我们报告一例4个月大的婴儿,患有手掌和拇指的杜普伊特伦挛缩病,在6个月大时需要手术治疗。组织学检查确诊为杜普伊特伦挛缩病。本报告的目的是表明,由于儿科患者可能会由多种治疗医生诊治,而不仅仅是整形外科医生或病理学家,因此对儿童手部结节和纤维化带进行鉴别诊断非常重要。