Unilateral Pseudo-Ainhum in Liver Cirrhosis

  • Uwe Wollina Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital, Dresden, Germany
  • Michael Tirant Department of Dermatology, University of Rome “G. Marconi”, Rome, Italy
  • Aleksandra Vojvodic Military Medical Academy of Belgrade, Belgrade, Serbia
  • Veronica di Nardo Department of Dermatology, University of Rome “G. Marconi”, Rome, Italy
  • Torello Lotti Department of Dermatology, University of Rome “G. Marconi”, Rome, Italy; Hanoi Medical University, Hanoi, Vietnam
Keywords: Pseudo-ainhum, Ainhum, Liver Cirrhosis, Fibrosis

Abstract

BACKGROUND: Pseudo-ainhum is defined as any case of autoâ€amputation not associated with the classic spontaneous ainhum seen in Africans with unknown etiology.

CASE PRESENTATION: A severely ill 58-year-old male patient presented with a painless constricting circular band on his left second toe. His medical history was remarkable for severe alcoholic liver cirrhosis with ascites formation leading to dyspnea. He had a hypoalbuminemia and a pronounced peripheral sensory neuropathy.

CONCLUSION: Here we present the second case of pseudo-ainhum associated with liver cirrhosis.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Romanelli RG, Stasi C. Recent advancements in diagnosis and therapy of liver cirrhosis. Curr Drug Targets. 2016; 17(15):1804-1817. https://doi.org/10.2174/1389450117666160613101413 PMid:27296314

Sanglodkar U, Jain M, Jothimoni D, Parida S, G B, Venkataraman J. Cellulitis in liver cirrhosis - a series of 25 cases from southern India. Clin Exp Hepatol. 2018; 4(3):201-204. https://doi.org/10.5114/ceh.2018.78125 PMid:30324146 PMCid:PMC6185931

Chiba T, Hayashi F, Shinmura M, Kiyomatsu M, Tatematsu S, Nakao M, Furue M. Yellow urticaria in a patient with hepatic cirrhosis. G Ital Dermatol Venereol. 2014; 149(3):381-2.

Dogra S, Jindal R. Cutaneous manifestations of common liver diseases. J Clin Exp Hepatol. 2011; 1(3):177-84. https://doi.org/10.1016/S0973-6883(11)60235-1

Muehrcke RC. The finger-nails in chronic hypoalbuminaemia; a new physical sign. Br Med J. 1956; 1(4979):1327-8. https://doi.org/10.1136/bmj.1.4979.1327 PMid:13316143 PMCid:PMC1980060

Wollina U, Graefe T, Oelzner P, Hein G, Schreiber G. Pseudoainhum of all fingers associated with Reynolds' syndrome and breast cancer: report of a case and review of the literature. J Am Acad Dermatol. 2001; 44(2 Suppl):381-4. https://doi.org/10.1067/mjd.2001.104971 PMid:11174422

Daccarett M, Espinosa G, Rahimi F, Eckerman CM, Wayne-Bruton S, Couture M, Rosenblum J. Ainhum (dactylolysis spontanea): a radiological survey of 6000 patients. J Foot Ankle Surg. 2002; 41(6):372-8. https://doi.org/10.1016/S1067-2516(02)80083-7

Rashid RM, Cowan E, Abbasi SA, Brieva J, Alam M. Destructive deformation of the digits with auto-amputation: a review of pseudo-ainhum. J Eur Acad Dermatol Venereol. 2007; 21(6):732-7. https://doi.org/10.1111/j.1468-3083.2007.02224.x PMid:17567298

Piccolo V, Corneli P, Piccolo S, Zalaudek I, Argenziano G, Russo T. Pseudo ainhum and facial malformation secondary to Streeter's dysplasia. J Eur Acad Dermatol Venereol. 2019. https://doi.org/10.1111/jdv.15757 PMid:31222806

Bassetto F, Tiengo C, Sferrazza R, Belloni-Fortina A, Alaibac M. Vohwinkel syndrome: treatment of pseudo-ainhum. Int J Dermatol. 2010; 49(1):79-82. https://doi.org/10.1111/j.1365-4632.2009.04267.x PMid:20465619

Behera B, Gochhait D, Thappa DM. Pseudoainhum and autoamputation associated with lamellar ichthyosis. Indian J Dermatol Venereol Leprol. 2017; 83(6):728-729. https://doi.org/10.4103/ijdvl.IJDVL_56_17 PMid:28936990

Silva M, Ribeiro R, Oliveira J. Pseudoainhum in systemic sclerosis. J Rheumatol. 2016; 43(11): 2076. https://doi.org/10.3899/jrheum.160239 PMid:27803345

Dasari BV, McBrearty A, Lau L, Lee B. Pseudoainhum of the toe with underlying chronic lower-limb ischemia. Int J Low Extrem Wounds. 2011; 10(2):96-7. https://doi.org/10.1177/1534734611409369 PMid:21693445

Richey PM, Stone MS. Resolution of pseudoainhum with acitretin therapy in a patient with palmoplantar keratoderma and congenital alopecia. JAAD Case Rep. 2019; 5(3):219-221. https://doi.org/10.1016/j.jdcr.2018.12.004 PMid:30809564 PMCid:PMC6374960

Pisoh T, Bhatia A, Oberlin C. Surgical correction of pseudo-ainhum in Vohwinkel syndrome. J Hand Surg Br. 1995; 20(3):338-41. https://doi.org/10.1016/S0266-7681(05)80090-7

Zamiri M, Watson S. Loricrin palmoplantar keratoderma: full-thickness skin grafting for pseudoainhum. Clin Exp Dermatol. 2019; 44(4):444-446. https://doi.org/10.1111/ced.13770 PMid:30264492

Published
2019-09-10
How to Cite
1.
Wollina U, Tirant M, Vojvodic A, di Nardo V, Lotti T. Unilateral Pseudo-Ainhum in Liver Cirrhosis. Open Access Maced J Med Sci [Internet]. 2019Sep.10 [cited 2020Oct.26];7(18):3013-4. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2019.681

Most read articles by the same author(s)