Blistering distal dactylitis: a case series in children under nine months of age

Lyon, Matthew; Doehring, Marla C.

doi:10.1016/j.jemermed.2003.08.015

Cited by 30 publications

(17 citation statements)

References 6 publications

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“…The most commonly affected digits are the index fingers and thumbs 1. It most commonly occurs in children aged 2–16 years, although rare cases have been reported in children less than 24 months old or in adults 5. The prevalent theory suggests that BDD is caused by autoinoculation of the fingertips by nose-picking and trauma such as an insect bite, abrasion, burn or finger prick 5 6.…”

Section: Discussionmentioning

confidence: 99%

Recurrent blistering distal dactylitis due toStaphylococcus aureusin an immunocompetent elderly woman

Hinkamp¹,

Shah

Holland

et al. 2018

BMJ Case Reports

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An 86-year-old woman presented with marked blistering of her left index fingertip and ulceration of the left middle fingertip, with a 2-year history of recurrent blistering and ulceration of her fingers bilaterally. She denied any preceding finger trauma, although she reported frequent gardening. She denied systemic symptoms. Her medical history was significant for a 2-year history of atrial fibrillation on carvedilol, amiodarone and apixaban, and she was a lifetime non-smoker. On admission, she had elevated inflammatory markers but unremarkable autoantibodies. Radiograph of the hand revealed diffuse soft tissue fullness and subtle irregularities at the tuft of the index finger, but all other investigations were unremarkable. The lesion was incised and drained, revealing blood-tinged purulent fluid. Wound biopsy revealed spongiosis with neutrophils, consistent with a diagnosis of blistering distal dactylitis.

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Section: Discussionmentioning

confidence: 99%

Recurrent blistering distal dactylitis due toStaphylococcus aureusin an immunocompetent elderly woman

Hinkamp¹,

Shah

Holland

et al. 2018

BMJ Case Reports

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show abstract

“…Autoinoculation of the digits from nose picking is proposed to play a role in causing blistering distal dactylitis. 5 Blistering distal dactylitis presents as tense, tender, oval bullae that are filled with thin, seropurulent fluid. These bullae eventually progress to bullae with central erosions or simple erosions with adherent layers of skin.…”

Section: Discussionmentioning

confidence: 99%

Blistering Distal Dactylitis in an Adult

et al. 2015

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“…Grup A-beta hemolitik streptokoklar en sık etken olan patojen ajanlardır; St. aureus ve Stafilococcus epidermidis de daha az sıklıkta etkendir. 9,62 Altta yatan ajanın klinik olarak tanımla-namaması nedeni ile Gram boyama ve kültür yapılabilir. En uygun tedavi insizyon, drenaj, sıcak kompres ve antibiyotiklerdir.…”

Section: Büllöz Di̇stal Dakti̇li̇tunclassified

Nail Diseases in Children: Review

Baykal¹,

Arıca²

2015

Turkiye Klinikleri J Dermatol

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Çocuklarda Görülen Tırnak Hastalıkları Ö ÖZ ZE ET T Çocuklarda tırnak hastalıklarının tanı alması kolay olmamaktadır. Tırnak muayenesi çocuklarda fizik muayenenin önemli bir parçasıdır. Tırnak hastalıkları fizyolojik değişiklikler, konjenital ve kalıtsal durumlar, dermatolojik hastalıklar, tümörler, enfeksiyonlar, travmatik değişiklikler, sistemik veya iyatrojenik nedenler olarak yedi başlık altında incelenebilir. Beau çizgileri, koilonişi, onikoşizi gibi fizyolojik değişiklikler genellikle yaş ile birlikte geriler ve tedavi gerektirmez. Konjenital hastalıklardan tırnak patella sendromunda üçgen şeklinde lunula görülmesi, hastalık için patognomoniktir. Anonişi ve mikronişi izole olabilir ya da çeşitli kompleks sendromların bir parçası olabilir. En sık görülen enfeksiyon, tırnak çevresi yerleşimli siğillerdir. Dermatolojik hastalıklar psöriyazis, liken planus, parakeratozis püstüloza, trakionişi ve liken striatusu kapsamaktadır. Parakeratozis püstüloza ve liken striatus ise tipik olarak çocuk populasyonda izlenmektedir. Tümörler çocuklarda nadiren gö-rülmektedir. Subungual ekzositoz tanısı radyografik değerlendirme ile konulabilir. Çocuklarda longitudinal melanonişilerin %75'i iyi huylu melanositik hiperplaziye bağlı gelişmektedir. Akut tırnak travmaları ve bunların sekelleri pediatrik tırnak konsültasyonlarının en sık nedenleridir. Hastalar sık-lıkla erken çocukluk çağda travmalar sonucu uygunsuz tedavi edilmeye bağlı gelişen geç dönem tır-nak distrofileri için başvurmaktadır. Onikofaji ve onikotillomani kronik travmadan sorumludur. Bu çalışmada, çocuklarda görülen tırnak hastalıkları ve tedavi seçenekleri sunulmuştur.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Tırnak hastalıkları; çocuk A AB BS S T TR RA AC CT T Nail diseases in children are not easy to diagnose. The examination of nail is an important part of the pediatric physical examination. We can consider nail disorder into seven categories as physiologic alterations, congenital and inherited conditions, infections, dermatologic disorders, tumors, trauma and systemic or iatrogenic nail alterations. Physiologic alterations like beau lines, koilonychia and onychoschizia usually disappear with age and do not require treatment. In congenital disorder nail patella sendrom; triangular lunula is patognomonic for the disease. Anonychia and micronychia can be isolated or part of various complex syndromes. The most common infection is the periungal wart. Dermatologic diseases includes psoriasis, lichen planus, parakeratosis pustulosa, trachyonychia and lichen striatus. Parakeratosis pustulosa and lichen striatus are typically seen in pediatric population. Tumors are rare in children. Subungal exostosis can be diagnosed with radiographic examination. In children; %75 of longitudinal melanonychia is due to benign melanocytic hyperplasia. Acute nail trauma and their sequelae are common cause of pediatric nail consultation. Too often patients ask for help for late dystrophies caused by inadequate management of a nail trauma. Onychophagia and onchotillomani...

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Blistering distal dactylitis: a case series in children under nine months of age

Cited by 30 publications

References 6 publications

Recurrent blistering distal dactylitis due toStaphylococcus aureusin an immunocompetent elderly woman

Recurrent blistering distal dactylitis due toStaphylococcus aureusin an immunocompetent elderly woman

Blistering Distal Dactylitis in an Adult

Nail Diseases in Children: Review

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