Morken Colleen M, Mortimer Sarah, Denney Richard, Hinshaw Molly A
University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Department of Dermatology, University of Wisconsin, Madison, Wisconsin, USA.
Skin Appendage Disord. 2021 Aug;7(5):418-421. doi: 10.1159/000516305. Epub 2021 Jun 3.
A man in his 70s presented to the dermatology nail clinic with a 1-month history of worsening onychodystrophy, leukonychia, and pain in his left fifth finger. Physical examination revealed a cool hand and absent radial pulse. Ischemia was suspected, and the patient was sent to the emergency department where the diagnosis of steal syndrome was made and his previously required arteriovenous fistula was ligated. This case highlights the clinical features of steal syndrome, that nail changes should be recognized as clinical features, and that urgent triage of these patients to vascular surgery is of critical importance.
一名70多岁男性因左小指甲营养不良、白甲症加重及疼痛1个月就诊于皮肤科指甲门诊。体格检查发现手部发凉且桡动脉搏动消失。怀疑有缺血情况，患者被送往急诊科，在那里诊断为盗血综合征，并结扎了其先前所需的动静脉瘘。该病例突出了盗血综合征的临床特征，即指甲变化应被视为临床特征，并且将这些患者紧急分诊至血管外科至关重要。
