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[Fingertip necroses of unknown origin].
Hautarzt
February 2013
Hautklinik und Poliklinik, Universitätsmedizin der Johannes Gutenberg-Universität Mainz.
A 63-year old woman presented with dry necrotic areas on the distal and medial phalanges of her right index and middle finger caused by burns while smoking. Differential diagnostic considerations included occlusive arterial disease, vasculitis, endangiitis obliterans, peripheral embolisms and exposure to chemicals. The patient had the habit of smoking her cigarettes until the last possible drag, putting her skin in direct contact with the burning tobacco.
View Article and Find Full Text PDF[Atypical HHS-syndrome--a rare differential diagnosis of circulatory disorders of the hand].
Handchir Mikrochir Plast Chir
February 2004
Chirurgische Universitätsklinik, Abteilung für Unfallchirurgie, Knappschaftskrankenhaus Bochum-Langendreer, Universitätsklinik, Ruhr-Universität Bochum.
We report on an acral circulatory disorder of the hand, representing a Hypothenar-Hammer-Syndrome (HHS) with atypical symptoms. The patient suffered from a radial circulatory disorder of his right hand, clinically representing a secondary M. Raynaud.
View Article and Find Full Text PDFWe report on the case of a 31-year-old male patient with focal testicular vasculitis as the only clinical manifestation of endangiitis obliterans (Winiwarter-Buerger disease), who presented with acute scrotal pain and swelling suggestive of a testicular tumor. Doppler sonography revealed significantly increased vascularization at the borders of the lesion, which rather indicated a vascular process; however, the presence of solid areas meant that the possibility of testicular cancer could not be excluded. Left inguinal orchiectomy was performed.
View Article and Find Full Text PDFThrombophlebitis is defined as thrombotic inflammation of a previously healthy superficial vein, varicophlebitis as that occurring in varicosities. The latter appears responsible for the majority of thrombotic venous occlusions. In contrast to venous thrombosis, the thrombotic involvement of deep veins, thrombophlebitis usually resolves without sequel and, in general, thrombophlebitis nor varicophlebitis are associated with the risk of pulmonary embolism.
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