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Dermatoglyphic patterns in children with chronic constipation
1Section of Pediatric Surgery, C.S. Mott Children's Hospital, Ann Arbor, Michigan, USA.
Insights
Palmar dermatoglyphics, specifically arch patterns on fingers, were analyzed in children with constipation. The study found no significant correlation, indicating palmar arches are not a reliable screening tool for childhood constipation.
Area of Science:
- Dermatoglyphics
- Pediatric Gastroenterology
- Medical Genetics
Background:
- Dermatoglyphics, the study of palm and sole ridge patterns, is explored for potential diagnostic value in medical conditions.
- Previous research suggests associations between dermatoglyphic patterns and congenital anomalies, including gastrointestinal issues like constipation.
- Palmar dermatoglyphic patterns are investigated as potential biomarkers for various health conditions.
Purpose of the Study:
- To investigate the correlation between palmar dermatoglyphic patterns, specifically the presence of arches, and constipation in children.
- To determine if palmar arch positivity can serve as a screening indicator for functional or organic constipation in pediatric patients.
- To compare palmar dermatoglyphic patterns in children with constipation against a control group with inguinal hernia.
Main Methods:
- Palmar dermatoglyphic patterns were recorded for 77 children diagnosed with constipation (39 functional, 38 organic).
- A control group of 84 children with inguinal hernia was included for comparison.
- Arch positivity was defined as the presence of at least one arch on any digit of either hand; statistical analysis (chi-square test) was performed.
Main Results:
- No statistically significant correlation was found between palmar arch positivity and the presence of functional or organic constipation (P = 0.9211).
- Similarly, no significant association was observed between palmar arch positivity and the control group condition, inguinal hernia.
- The findings indicate a lack of predictive value for palmar arches in identifying constipation in children.
Conclusions:
- The presence of palmar arches is not a reliable indicator for screening children with chronic constipation, particularly of organic origin.
- Dermatoglyphic analysis, in this context, does not support its use as a diagnostic or screening tool for pediatric constipation.
- Further research may be needed to explore other dermatoglyphic features or different pediatric conditions.
Abstract:
Analysis of the fine ridge configurations on the digits of the palms and soles (dermatoglyphics) may sometimes help in the diagnoses of certain medical disorders. Dermatoglyphic patterns have been reported to be associated with congenital anomalies, such as congenital heart disease, duodenal ulcer, abdominal pain, and constipation. The palmar dermatoglyphic patterns of 77 children with constipation (39 functional and 38 organic constipation) were recorded. The control group consisted of 84 children with inguinal hernia. Those patients with at least one arch identified on any digit of either hand were termed arch positive. There was no significant correlation between arch positivity and constipation (functional or organic), or inguinal hernia (chi square, P = 0.9211). Therefore, the presence of palmar arches cannot be used as a screening device for children with chronic constipation, especially of organic etiology.
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