Tchouakam Diego Nitcheu, Tochie Joel Noutakdie, Guifo Marc Leroy, Choukem Simeon Pierre
Health and Human Development (2HD) Research Network, Douala, Cameroon.
Bogo District Hospital, Bogo, Cameroon.
BMC Dermatol. 2019 Aug 12;19(1):12. doi: 10.1186/s12895-019-0092-6.
Ainhum is an idiopathic dermatological disease characterized by a progressive constricting ring usually on the fifth toe, which may lead to spontaneous auto-amputation of the affected toe. Timely diagnosis and treatment are the key elements to avert amputations with resultant mutilating deformities, permanent handicaps and psychological sequelae. Though common in African descents, this pathology has not been described in the Cameroonian literature. Herein, we report the case of an adult Cameroonian woman presenting with ainhum.
A 54-year old Cameroonian was admitted to our primary healthcare centre with a 6-month history of a painful constriction band developing at the base of her right fifth toe. Her past history was uneventful. Based on the absence of trauma and spontaneous onset of the condition, the diagnosis of ainhum was most suggestive. She was managed surgically by excision of the band, disarticulated at right fifth metatarsophalangeal joint and skin closure. Her post-operative course after 1 year was uneventful.
Here we presented a case of ainhum, a rare dermatological disease with few reports. In view of the serious complications of ainhum such as mutilating deformities with permanent physical disabilities and psychological trauma, we draw clinicians' attention, especially wound care specialists to this rare but potentially handicapping disease, for timely diagnosis and management.
阿洪病是一种特发性皮肤病，其特征为通常在第五趾出现进行性缩窄环，这可能导致患趾自发自截。及时诊断和治疗是避免截肢以及由此产生的致残畸形、永久性残疾和心理后遗症的关键因素。尽管在非洲裔人群中常见，但喀麦隆文献中尚未描述过这种病症。在此，我们报告一例患有阿洪病的喀麦隆成年女性病例。
一名54岁的喀麦隆女性因右第五趾根部出现疼痛性缩窄带6个月而入住我们的基层医疗中心。她既往史无异常。基于无创伤且病情自发出现，阿洪病的诊断最具提示性。她接受了手术治疗，切除缩窄带，在右第五跖趾关节处离断并缝合皮肤。术后1年她的病程平稳。
我们在此呈现了一例阿洪病病例，这是一种罕见且报道较少的皮肤病。鉴于阿洪病的严重并发症，如致残畸形、永久性身体残疾和心理创伤，我们提请临床医生，尤其是伤口护理专家关注这种罕见但可能导致残疾的疾病，以便及时诊断和处理。
