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Acquired constriction ring syndrome
Jonathan C O'Quinn1, Roger L Friedman, Kimberly L Wilms
1Cape Fear Podiatry Associates, 1738 Metromedical Drive, Fayetteville, NC 28304, USA.
Summary
Acquired constriction ring syndrome in infants, often caused by hair, can lead to appendage loss. Prompt removal of the constricting material is crucial for a good prognosis.
Area of Science:
- Pediatric Surgery
- Dermatology
Background:
- Acquired constriction ring syndrome (ACRS) affects infants, causing circumferential constriction of digits or other appendages.
- Vascular compromise from ACRS can rapidly result in gangrene and autoamputation, necessitating specialist awareness.
Observation:
- A case report details ACRS in a 9-week-old infant with a hair strand constricting the third and fourth toes.
- The constricting hair was successfully removed using loupe magnification.
Findings:
- Prompt identification and removal of constricting foreign material are key treatments for ACRS.
- Early intervention significantly improves the prognosis and prevents digital loss.
Implications:
- Foot and ankle specialists must recognize ACRS to prevent severe complications like digital loss.
- Timely diagnosis and treatment of ACRS ensure favorable outcomes for affected infants.