MyPACS.net: Radiology Teaching Files > Case 2706381

never visited AINHUM DISEASE
Contributed by: Residents and Faculty Baptist Health System Birmingham Alabama, Radiologist, Baptist Health System Hospitals Birmingham, Alabama, USA.
History: 40 YO with ulcer at base of great toe -RLo osteo.
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Findings:

- osteolysis of distal aspect of 5th proximal phalanx
- osteopenia, soft tissue calcifications, pes planus

Diagnosis: ainhum disease
Discussion:

Ainhum Disease (Dactylolysis spontanea)
unknown etiology
Hyperkeratotic epidermis with fibrous thickening of underlying collagen; chronic lymph. infiltrate,
arterial walls thickened with narrowed lumina
2% Incidence
Males 4th and 5th decades; Blacks > whites; M>F
Deep soft tissue groove forming on plantar surface of proximal phalanx; distal edema
Painful ulceration
4th and 5th toes, rarely fingers
Sharply demarcated progressive bone resorption of distal/middle phalanx with tapering of proximal phalanx to complete amputation after 5 years
Associated osteoporosis
Rx: early resection of fibrous band

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Additional Details:

Case Number: 2706381Last Updated: 09-09-2005
Anatomy: Skeletal System   Pathology: Other
Exam Date: Access Level: Readable by all users
Keywords: ainhum disease (ainhum = saw, sword, fissure), neuropathic d/o's - diabetes, syphilis,trauma - frostbite, burn, osteolysis [arthritis, cvd's, raynaud's, atherosclerosis, sarcoid, pvc, familial (hadjuACR: 466.869

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