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自发性断趾症——一例罕见病例报告

Ainhum - A Rare Case Report.

作者信息

Prabhu Ravi, Kannan Narayanasamy Subbaraju, Vinoth Sundaresan, Praveen Chinnappan Balasubramanian

机构信息

Senior Resident, Department of General Surgery, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth , Pondicherry, India .

Associate Professor, Department of General Surgery, Mahatma Gandhi Medical College & Research Institute, Sri Balaji Vidyapeeth , Pondicherry, India .

出版信息

J Clin Diagn Res. 2016 Apr;10(4):PD17-8. doi: 10.7860/JCDR/2016/17556.7648. Epub 2016 Apr 1.

DOI:10.7860/JCDR/2016/17556.7648
PMID:27190888
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4866186/
Abstract

The term 'AINHUM' is derived from the African word meaning 'to saw or cut'. True ainhum otherwise called dactylolysis spontanea is a condition involving soft tissue or digits with constricting rings commonly presenting in fifth toes, usually bilateral. It is to be differentiated from Pseudo-ainhum that occurs secondary to some hereditary and nonhereditary diseases that lead to annular constriction of digits. We report a rare case of true ainhum involving the left fourth toe only. It is a very rare case and a very few were reported worldwide. The highest incidence of ainhum has been reported in South Africa and South America. It is rarely reported in India. Ainhum when diagnosed and treated in early stages can be prevented from progressing to mutilating deformities.

摘要

“阿洪病”一词源于一个非洲词语,意思是“锯或切割”。真性阿洪病又称自发性指(趾)断症,是一种累及软组织或指(趾)并伴有缩窄环的病症,通常出现在小趾,多为双侧。它需要与假性阿洪病相鉴别,假性阿洪病继发于一些导致指(趾)环形缩窄的遗传性和非遗传性疾病。我们报告了一例仅累及左第四趾的真性阿洪病罕见病例。这是一个非常罕见的病例,全球报道的病例很少。阿洪病在南非和南美洲的发病率最高。在印度很少有报道。阿洪病若在早期诊断和治疗,可防止发展为致残性畸形。

相似文献

1
Ainhum - A Rare Case Report.自发性断趾症——一例罕见病例报告
J Clin Diagn Res. 2016 Apr;10(4):PD17-8. doi: 10.7860/JCDR/2016/17556.7648. Epub 2016 Apr 1.
2
Familial ainhum: a case report of multiple toe involvement in a father and son, staging of ainhum with insight into different types of constricting bands.家族性自发性断趾症:父子均有多趾受累的病例报告,自发性断趾症的分期及对不同类型缩窄带的深入分析
Indian J Dermatol. 2015 Jan-Feb;60(1):106. doi: 10.4103/0019-5154.147879.
3
An unusual cause of ulceration: ainhum (dactylolysis spontanea).溃疡形成的一种罕见病因:自发性指(趾)断症(阿洪病)
Int Wound J. 2007 Sep;4(3):251-4. doi: 10.1111/j.1742-481X.2007.00297.x.
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Ainhum: A Spot Diagnosis.阿洪病:一种现场诊断
Indian J Surg. 2015 Dec;77(Suppl 3):1411-2. doi: 10.1007/s12262-014-1160-0. Epub 2014 Aug 28.
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Ainhum自发性断趾症
6
Ainhum (dactylolysis spontanea): a case with hands and feet involvement.指骨离断症(自发性断指):累及手和足的病例。
J Clin Rheumatol. 2013 Aug;19(5):277-9. doi: 10.1097/RHU.0b013e31829d517f.
7
Dactylolysis spontanea or ainhum involving the big toe.自发性指(趾)断症或阿洪病累及拇趾。
J Rheumatol. 2005 Dec;32(12):2437-9.
8
Ainhum (dactylolysis spontanea): a radiological survey of 6000 patients.阿洪病(自发性指(趾)断症):对6000例患者的影像学调查。
J Foot Ankle Surg. 2002 Nov-Dec;41(6):372-8. doi: 10.1016/s1067-2516(02)80083-7.
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Ainhum, a rare mutilating dermatological disease in a female Cameroonian: a case report.阿洪病,喀麦隆一名女性身上的罕见致残性皮肤病:病例报告
BMC Dermatol. 2019 Aug 12;19(1):12. doi: 10.1186/s12895-019-0092-6.
10
The surgical pathology of ainhum (dactylolysis spontanea).自发性断指症(阿洪病)的外科病理学
J Foot Surg. 1986 Mar-Apr;25(2):95-123.

引用本文的文献

1
What's the resolutive surgery for pseudo-ainhum in Vohwinkel syndrome? A case report and review of the literature.沃温克尔综合征中假性自发性断指的手术治疗方法是什么?病例报告及文献综述。
Orthop Rev (Pavia). 2021 Feb 1;12(4):8868. doi: 10.4081/or.2020.8868. eCollection 2020 Dec 31.
2
Ainhum, a rare mutilating dermatological disease in a female Cameroonian: a case report.阿洪病,喀麦隆一名女性身上的罕见致残性皮肤病:病例报告
BMC Dermatol. 2019 Aug 12;19(1):12. doi: 10.1186/s12895-019-0092-6.

本文引用的文献

1
Familial ainhum: a case report of multiple toe involvement in a father and son, staging of ainhum with insight into different types of constricting bands.家族性自发性断趾症:父子均有多趾受累的病例报告,自发性断趾症的分期及对不同类型缩窄带的深入分析
Indian J Dermatol. 2015 Jan-Feb;60(1):106. doi: 10.4103/0019-5154.147879.
2
Ainhum (dactylolysis spontanea): a case with hands and feet involvement.指骨离断症(自发性断指):累及手和足的病例。
J Clin Rheumatol. 2013 Aug;19(5):277-9. doi: 10.1097/RHU.0b013e31829d517f.
3
Palmoplantar keratoderma, pseudo-ainhum, and universal atrichia: A new patient and review of the palmoplantar keratoderma-congenital alopecia syndrome.掌跖角化病、假性并指畸形和全身性无毛发:一位新患者及掌跖角化病-先天性秃发综合征的回顾。
Am J Med Genet A. 2010 Aug;152A(8):2043-7. doi: 10.1002/ajmg.a.33490.
4
Vohwinkel syndrome: treatment of pseudo-ainhum.Vohwinkel 综合征:假性并指畸形的治疗。
Int J Dermatol. 2010 Jan;49(1):79-82. doi: 10.1111/j.1365-4632.2009.04267.x.
5
Dactylolysis spontanea or ainhum involving the big toe.自发性指(趾)断症或阿洪病累及拇趾。
J Rheumatol. 2005 Dec;32(12):2437-9.
6
TRUE AINHUM: ITS DISTINCTIVE AND DIFFERENTIATING FEATURES.
J Bone Joint Surg Br. 1965 Feb;47:52-5.
7
AINHUM: AN ACCOUNT OF FIFTY-FOUR PATIENTS WITH SPECIAL REFERENCE TO ETIOLOGY AND TREATMENT.阿洪病:54例病例报告,特别涉及病因学与治疗
J Bone Joint Surg Br. 1965 Feb;47:43-51.
8
Ainhum (dactylolysis spontanea): a radiological survey of 6000 patients.阿洪病(自发性指(趾)断症):对6000例患者的影像学调查。
J Foot Ankle Surg. 2002 Nov-Dec;41(6):372-8. doi: 10.1016/s1067-2516(02)80083-7.
9
Case report: ainhum (spontaneous dactylolysis) in a 65-year-old American black man.病例报告:一名65岁美国黑人男性的自发性断指(阿洪病)。
Am J Med Sci. 1992 Feb;303(2):118-20. doi: 10.1097/00000441-199202000-00012.