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[Un solo dígito clavo clubbing]

Nieke N P M Smeins1,2, Tim Pruimboom1, Frank S van Leersum3

  • 1Maastricht UMC+, afd. Plastische, Reconstructieve en Handchirurgie, Maastricht.

Nederlands tijdschrift voor geneeskunde
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PubMed
Resumen
Este resumen es generado por máquina.

Un raro neurofibroma subungual causó golpes de dedos asintomáticos en una mujer. La extirpación quirúrgica trató con éxito la condición, preservando la uña y el dedo.

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Área de la Ciencia:

  • Dermatología
  • En el campo de la oncología
  • Patología

Sus antecedentes:

  • Los trastornos de las uñas pueden presentarse con diversas etiologías.
  • Los tumores subungual son causas poco comunes de anomalías digitales.
  • Los neurofibromas generalmente afectan al tejido nervioso, pero pueden ocurrir en varios lugares.

Objetivo del estudio:

  • Para reportar un caso de neurofibroma subungual que está causando golpes digitales aislados.
  • Para resaltar el enfoque de diagnóstico y el manejo exitoso de esta rara condición.
  • Enfatizar la importancia de considerar las causas neoplásicas de las deformidades digitales.

Principales métodos:

  • Presentación clínica de una mujer de 33 años con un trastorno progresivo de las uñas.
  • Imágenes de resonancia magnética (IRM) para la caracterización de la lesión subungual.
  • Examen histopatológico del tumor extirpado para el diagnóstico definitivo.

Principales resultados:

  • Se identificó un neurofibroma subungual solitario y asintomático como la causa del dedo índice izquierdo.
  • Se realizó una extirpación quirúrgica del neurofibroma.
  • Se logró una recuperación completa con la preservación de la estructura de las uñas y los dedos después de la cirugía.

Conclusiones:

  • El neurofibroma subungual es una causa rara pero tratable de clubbing digital adquirido.
  • Las imágenes de diagnóstico multimodales y la histopatología son cruciales para un diagnóstico preciso.
  • El manejo quirúrgico conservador puede producir excelentes resultados funcionales y estéticos.