Mechanisms in contact dermatitis

Abel, Elizabeth A.; Wood, Gary S.

doi:10.1007/bf02993165

Cited by 5 publications

(1 citation statement)

References 26 publications

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“…The 4 cardinal signs of Kanavel are usually present, or at least some combination of them. These signs are 1) uniform swelling of the digit, 2) digit held passively in a semiflexed position, 3) exquisite tenderness along the entire tendon sheath, and 4) marked pain with passive extension of the digit. Nonoperative treatment with immobilization and IV antibiotics may sometimes be possible with cases of early flexor tenosynovitis, but the definitive treatment is incision and drainage.l3 None of Kanavel's signs were present and tenosynovitis was ruled out clinically.…”

Section: Instructions For Contributors To Clinical Pearlsmentioning

confidence: 99%

Finger Swelling and Discharge

Suchard

1998

Academic Emergency Medicine

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Chief Complaint. "Finger infection."History of Present Illness. A 32-year-old, righthanded woman presents to the ED 5 days after burning the volar aspect of the proximal phalanx of her left ring finger on a n electric stove burner. She immediately placed the finger under running water, but was unable to remove her gold wedding ring secondary to pain and therefore wore it continuously until her ED evaluation. The burned area became red and developed blisters that later unroofed spontaneously, but there were no charred, insensate areas. She dressed the wound with an over-the-counter antibiotic ointment and cotton gauze. Over the next 3 days the pain gradually decreased, and the patient was able to perform her job in computer data entry without undue difficulty.Over the last 2 days the patient developed progressive swelling of the finger and noted a blistering rash with profuse clear discharge. She has been unable to continue her work due to the discharge soiling the keyboard, as well as limited range of motion. The patient also complains of stiffness, itching, and persistent mild pain in the affected finger. She is now unable to remove her ring due to swelling. The patient has not noted any purulent discharge, fever, or lymphangitis. She has no history of significant medical conditions or allergies, and has not been using any other medications.

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Section: Instructions For Contributors To Clinical Pearlsmentioning

confidence: 99%