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伴有布罗德手跨度和长手指的厚皮性多指(趾)畸形:一例报告

Pachydermodactyly with Broder Hand Span and Long Fingers: A Case Report.

作者信息

Rasi Abbas, Behrangi Elham, Attar Bahamin, Azizian Zahra

机构信息

Dept. of Dermatology, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Dept. of Orthopaedic Surgery, Shohada Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Iran J Public Health. 2017 Feb;46(2):258-260.

Abstract

Pachydermodactyly is a rare and benign disease that may be idiopathic, genetic, acquired as a response to repetitive trauma, or associated with several other acquired conditions often pushing the health caregiver to do a bunch of costly lab tests and diagnostic workups to rule out other entities. All health care givers must be aware about this disease for reassure the patients and cut unnecessary costs. Moreover, there seems to be an issue of association with certain occupations. A good example might be computer keyboards causing special damages to certain organs like eyes and musculoskeletal system. We have observed deleterious effects of excess work with computer keyboards on fingers in the form of Pachydermodactyly in our case. A 27-yr-old man presented with wider hand span and longer fingers to Dermatology Clinic of Rasoul-E-Akram Hospital in June 2015, especially the ring finger in our case, considered a big symptom who depressed due to their fingers appearance as a rare disease. We gave him an emollient to make his hand smoother. The patient improved both clinically and psychologically on a simple emollient. This disease with its deleterious psychological effects and a simple way of management should be appreciated more by the health care system.

摘要

厚皮性多指(趾)畸形是一种罕见的良性疾病,可能是特发性的、遗传性的、因反复创伤而获得性的,或与其他几种获得性疾病相关,这常常促使医护人员进行一系列昂贵的实验室检查和诊断性检查,以排除其他疾病。所有医护人员都必须了解这种疾病,以便安抚患者并削减不必要的费用。此外,似乎存在与某些职业相关的问题。一个很好的例子可能是电脑键盘会对眼睛和肌肉骨骼系统等某些器官造成特殊损害。在我们的病例中,我们观察到过度使用电脑键盘工作对手指产生了有害影响,表现为厚皮性多指(趾)畸形。一名27岁男性于2015年6月前往拉苏勒 - 阿克拉姆医院皮肤科就诊,其手掌更宽、手指更长,在我们的病例中尤其无名指如此,由于手指外观这种罕见病症而感到沮丧。我们给了他一种润肤剂以使他的手更光滑。仅使用一种简单的润肤剂,患者在临床和心理上都有改善。这种具有有害心理影响且治疗方法简单的疾病,医疗系统应给予更多关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4bc/5402786/05ad4c9f7552/IJPH-46-258-g001.jpg

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