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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.

Priya B, Suganthy RR, Manimegalai M, Krishnaveni A - Indian J Dermatol (2015 Jan-Feb)

Bottom Line: The disease is often symmetrical on both the feet, but, occasionally, other toes are also affected and rarely the distal phalanx of the fifth finger.Pseudoainhum is a similar condition that occurs as a secondary event resulting from certain hereditary and nonhereditary diseases that lead to annular constriction of digits.We hereby present a case of familial ainhum in father and son with multiple toes affected, autoamputation, and more involvement of fourth toe than the fifth toe, which is a very rare finding.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Kilpauk Medical College, Chennai, India.

ABSTRACT
Ainhum, also known as dactylolysis spontanea, is a painful constriction of the base of the fifth toe, frequently followed by spontaneous amputation a few years later. The disease is often symmetrical on both the feet, but, occasionally, other toes are also affected and rarely the distal phalanx of the fifth finger. Pseudoainhum is a similar condition that occurs as a secondary event resulting from certain hereditary and nonhereditary diseases that lead to annular constriction of digits. We hereby present a case of familial ainhum in father and son with multiple toes affected, autoamputation, and more involvement of fourth toe than the fifth toe, which is a very rare finding.

No MeSH data available.


Related in: MedlinePlus

Left foot of son with X-ray
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Figure 1: Left foot of son with X-ray

Mentions: A 35-year-old man presented to us with pain and fissuring in his left fifth toe [Figure 1]. The patient noted a groove occurring in the inner aspect of his toe 5 years back, which gradually increased. Similar grooves started appearing in his fourth toe bilaterally since the past 2 years. At the age of 8 years, he had a similar problem affecting the right fifth toe, which gradually led to the loss of the digit as accounted by his father. On examining the father who accompanied him, it was noted that he also had similar but asymptomatic grooving involving the right fourth and fifth toes and left fifth toe [Figure 2]. The grooving was most severe in the fourth toe. The patient presented with hope to control the disease from spreading to all his digits and to prevent any further loss of his digits.


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.

Priya B, Suganthy RR, Manimegalai M, Krishnaveni A - Indian J Dermatol (2015 Jan-Feb)

Left foot of son with X-ray
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4318043&req=5

Figure 1: Left foot of son with X-ray
Mentions: A 35-year-old man presented to us with pain and fissuring in his left fifth toe [Figure 1]. The patient noted a groove occurring in the inner aspect of his toe 5 years back, which gradually increased. Similar grooves started appearing in his fourth toe bilaterally since the past 2 years. At the age of 8 years, he had a similar problem affecting the right fifth toe, which gradually led to the loss of the digit as accounted by his father. On examining the father who accompanied him, it was noted that he also had similar but asymptomatic grooving involving the right fourth and fifth toes and left fifth toe [Figure 2]. The grooving was most severe in the fourth toe. The patient presented with hope to control the disease from spreading to all his digits and to prevent any further loss of his digits.

Bottom Line: The disease is often symmetrical on both the feet, but, occasionally, other toes are also affected and rarely the distal phalanx of the fifth finger.Pseudoainhum is a similar condition that occurs as a secondary event resulting from certain hereditary and nonhereditary diseases that lead to annular constriction of digits.We hereby present a case of familial ainhum in father and son with multiple toes affected, autoamputation, and more involvement of fourth toe than the fifth toe, which is a very rare finding.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Kilpauk Medical College, Chennai, India.

ABSTRACT
Ainhum, also known as dactylolysis spontanea, is a painful constriction of the base of the fifth toe, frequently followed by spontaneous amputation a few years later. The disease is often symmetrical on both the feet, but, occasionally, other toes are also affected and rarely the distal phalanx of the fifth finger. Pseudoainhum is a similar condition that occurs as a secondary event resulting from certain hereditary and nonhereditary diseases that lead to annular constriction of digits. We hereby present a case of familial ainhum in father and son with multiple toes affected, autoamputation, and more involvement of fourth toe than the fifth toe, which is a very rare finding.

No MeSH data available.


Related in: MedlinePlus