Interdigital Pilonidal Sinus: A Case Report and Literature Review

Eryılmaz, Ramazan; Okan, İsmail; Özkan, Orhan Veli; Somay, Adnan; Ensari, Cemal Özben; Şahi̇n, Mustafa

doi:10.1111/j.1524-4725.2012.02412.x

Cited by 21 publications

(16 citation statements)

References 13 publications

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“…Simple inquiries from the 1950s and 1970s have estimated a relatively high (7%-13%) prevalence of trichogranuloma in hairdressers [ 2 , 4 ]; it has been postulated that its frequently mild presentation rarely merits seeking medical attention [ 2 ], which could explain the relative scarcity in reported cases (around 20) [ 4 ] as well as lack of awareness among clinicians [ 2 - 3 , 5 ]. Histologically, trichogranuloma is a foreign-body granuloma around foreign implanted keratin; when cut hairs penetrate the epidermis, it proliferates reactively at the implantation site.…”

Section: Discussionmentioning

confidence: 99%

“…Preferred treatment generally consists of surgically excising the hair and inflamed tissue [ 3 - 4 , 8 , 13 ]; however, recurrence is possible [ 8 ], and may be influenced by wound closure as well as not employing further preventative measures [ 4 - 6 , 8 ]. In accordance with current evidence on sacrococcygeal pilonidal sinus treatment [ 14 ], most authors agree that secondary wound healing leads to lower recurrence, but also leads to prolonged healing and worse scarring [ 3 - 4 ]. Because of our patient’s scleroderma and its association with delayed wound healing [ 11 ], primary closure was chosen.…”

Section: Discussionmentioning

confidence: 99%

“…Hairdressers and barbers have high rates of occupational skin diseases; in the United Kingdom, approximately 70% develop contact dermatitis [ 1 ]. Because of its prevalence, dermatologists diagnose contact dermatitis in hairdressers frequently; conversely, trichogranuloma (also known as barber’s hand, interdigital pilonidal sinus, or barber’s sinus [ 2 ]), is rarely reported, mostly seen by surgical specialties, and many clinicians are not aware of it [ 2 - 3 ]. Like a pilonidal sinus of the sacro-coccyx, it develops when cut or broken hairs penetrate the skin, causing a pyogranuloma.…”

Section: Introductionmentioning

confidence: 99%

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Trichogranuloma in a Hairdresser with Systemic Sclerosis

Craveiro-Lopes

Grant

Adler

2018

Cureus

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Trichogranuloma is a rare occupational disease of hairdressers that develops when hair clippings penetrate the skin and cause a foreign-body reaction. We describe a case of a hairdresser with limited cutaneous systemic sclerosis who developed a chronic felon on her right third finger and received repeated courses of antibiotics without improvement. An occupational history and awareness of occupational diseases in hairdressers led to the correct diagnosis of trichogranuloma. Systemic sclerosis and concomitant finger ulcers may have predisposed the patient to this otherwise infrequent condition in an unusual location. Our case highlights the importance of occupational history and awareness of rare occupational diseases; we propose that treating and preventing skin disease may play a role in the prevention of trichogranuloma, thereby highlighting the need for protective measures in hairdressers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Trichogranuloma in a Hairdresser with Systemic Sclerosis

Craveiro-Lopes

Grant

Adler

2018

Cureus

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“…Joseph and Gifford 1 defined barber's IPS and the pathogenesis in 1954. It is caused by repeated implantation of foreign hair to the interdigital web space [2][3][4][5] . It is most frequently seen in hairdressers.…”

Section: Introductionmentioning

confidence: 99%

An insight to pilonidal sinus etiology; interdigital pilonidal sinus

Yazar¹,

Aksu²,

Leblebıcı³

et al. 2018

TURKDERM

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A 46-year-old man who was working in leather tanning industry presented to our department with a mass and intermittent purulent discharge on his left hand for three years. Total excision was performed using transpositional flap. Histopathology was compatible with pilonidal sinus. Interdigital pilonidal sinus of the hand is a rare occupational disease. It is frequently encountered in hairdressers. Penetration of foreign hair to the interdigital web space is the cause of the disease.

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“…3 It is postulated that trauma, likely from the repetitive use of the hand as a comb-like device, causes these coarse hairs to penetrate the skin of the interdigital crease, subsequently leading to a foreign body reaction, chronic inflammation, and sinus tract formation. 4 Pilonidal sinus disease of the web spaces of the hand is sparsely mentioned in the plastic surgery literature. It is likely that this entity is underreported, misdiagnosed, and subsequently mistreated.…”

mentioning

confidence: 99%