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A novel association of pseudoainhum and epidermolytic ichthyosis, successfully treated with full thickness skin graft after failed z-plasty repair. | LitMetric

AI Article Synopsis

  • Pseudoainhum is a rare condition where constriction bands can lead to painful digital strangulation and auto-amputation, commonly associated with palmoplantar keratodermas.
  • The text presents the first documented case of pseudoainhum occurring in a 25-year-old woman with classic epidermolytic ichthyosis, who had a painful band on her fifth toe.
  • The initial treatment with z-plasty was unsuccessful, but a subsequent full thickness skin graft proved to be a successful alternative in treating her condition.

Article Abstract

Pseudoainhum is a rare constriction band variant thatmay progress to spontaneous digital strangulationand auto-amputation. Although its association withpalmoplantar keratodermas is well established, ithas not been reported in conjunction with classicepidermolytic ichthyosis. We describe the first suchcase in a 25-year-old woman who presented witha painful constricting band of the fifth toe. We alsodescribe her treatment course, which consisted ofa failed z-plasty, the traditional therapeutic optionfor acute pseudoainhum, and report the success ofsubsequent full thickness skin graft, suggesting thebenefit of this procedure as a therapeutic alternativefor patients with pseudoainhum.

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