单侧阴缩症和指部胀:想想手腕道综合征
Anissa Zaouak1, Amal Chamli2, Houda Hammami2
1Department of Dermatology, Habib Thameur Hospital, Research Unit "Genodermatoses and cancers LR12SP03", University of Tunis El Manar, Tunis, Tunisia; anissa_zaouak@yahoo.fr.
Skinmed
|August 1, 2024
概括
一位老年男性的单边形缩与手足道综合征 (CTS) 有关. 这一案例凸显了在诊断指甲异常时考虑神经疾病的重要性,特别是当症状局部化时.
科学领域:
- 皮肤病学 皮肤病学
- 神经学 神经学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 单边的指甲变化可能很难诊断.
- 慢性疾病,如功能衰竭,可能会出现各种皮肤学表现.
研究的目的:
- 为了调查87岁的男性患者逐渐,单边变质指甲的原因.
- 探索指甲异常与潜在的神经疾病之间的潜在联系.
主要方法:
- 对指甲和手的临床检查.
- 诊断测试包括菌病学检查,自身免疫抗体查,毛细管镜检查和X射线检查.
- 神经学检查和电肌图 (EMG) 评估神经陷.
主要成果:
- 这位患者出现了桑东尼基亚,阴茎溶解,博氏线和仅影响左指甲的皮炎.
- 所有最初的皮肤学和风湿学检查均呈阴性结果.
- 电磁波检测证实左手的手掌道综合征 (CTS),与单边指甲的发现相关.
结论:
- 手管道综合征可以表现为单边阴茎缩症.
- 这一案例强调了对不明原因的单边指甲异常进行包括神经学评估在内的综合诊断方法的必要性.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
267
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
267
Cardiovascular System Abnormal Findings I: Inspection and Palpation
338
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
338
Spinal Nerves: Plexus I
820
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
820
Disorders of the Autonomic Nervous System
592
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
592
Pleiotropy
40.4K
Pleiotropy is the phenomenon in which a single gene impacts multiple, seemingly unrelated phenotypic traits. For example, defects in the SOX10 gene cause Waardenburg Syndrome Type 4, or WS4, which can cause defects in pigmentation, hearing impairments, and an absence of intestinal contractions necessary for elimination. This diversity of phenotypes results from the expression pattern of SOX10 in early embryonic and fetal development. SOX10 is found in neural crest cells that form melanocytes,...
40.4K
Assessment of the Cardiovascular System II: Inspection
197
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
197


