1/72. Use of the palmaris brevis flap for preventing recurrent median nerve compression in mucolipidosis.In a patient with severe, recurrent bilateral carpal tunnel syndrome secondary to mucolipidosis, the 'turnover' palmaris brevis flap was used in conjunction with internal neurolysis. The procedure was effective in alleviating symptoms of recurrent carpal tunnel compression in both hands.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
2/72. Myeloma-associated systemic amyloidosis presenting as chronic paronychia and palmodigital erythematous swelling and induration of the hands.Mucocutaneous involvement occurs predominantly in primary systemic amyloidosis as well as in myeloma-associated systemic amyloidosis. It is rarely observed in other types of amyloidoses. Signs of such involvement may aid in the early diagnosis of the disease process. Herein, we describe a 64-year-old white male patient with myeloma-associated systemic amyloidosis in whom the disease presented with unique cutaneous lesions consisting of chronic paronychia and palmodigital erythematous swelling and induration of the hands. Following weekly regimens with prednisone (20 mg/day) and melphalan (2 mg/day) administered every 16 weeks, almost complete resolution of the cutaneous lesions was observed after 1 year of therapy. Also, in response to chemotherapy, modest regression of the myelomatous bone lesions and complete resolution of the underlying gammopathy occurred.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
3/72. Palmar fasciectomy and keloid formation.A 53-year-old Caucasian with keloid formation on the palmar surface of the hand following Dupuytren's contracture release is presented. Only two other cases of keloid formation on the hand have been found in English literature, both on black patients. This is the first known case with association of Dupuytren's disease to be reported. Surgical excision of the keloid with intraoperative injection of triamcinolone of the wound edges resulted in clinical cure.- - - - - - - - - - ranking = 0.2keywords = palm (Clic here for more details about this article) |
4/72. Multiple epidermal inclusion cysts in a patient with rheumatoid arthritis: a case report.A construction worker with rheumatoid arthritis presented with multiple soft tissue masses on the volar surface of the palm and digits. A misdiagnosis of rheumatoid nodules was made secondary to the patient's history of rheumatoid arthritis. Subsequent excision confirmed multiple epidermal inclusion cysts, which was not entertained in the preoperative differential diagnosis. Follow-up evaluation 3 years later revealed no evidence of local recurrence. Based on our literature review, multiple epidermal inclusion cysts is a rare entity and has not been reported in a patient with rheumatoid arthritis.- - - - - - - - - - ranking = 0.2keywords = palm (Clic here for more details about this article) |
5/72. median nerve compression by a radially inserted palmaris longus tendon after release of the antebrachial fascia: A complication of carpal tunnel release.We describe a case that had recurrent median nerve compression after release of the antebrachial fascia in carpal tunnel release. The nerve was compressed by a palmaris longus tendon that was inserted radially into the thenar fascia. After decompression (detachment of the tendon) the patient had symptom relief. Release of the antebrachial fascia in the presence of this tendon variant carries a risk of median nerve compression by the tendon.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
6/72. Chronic recurrent multifocal osteomyelitis associated with ulcerative colitis: a case report.Chronic recurrent multifocal osteomyelitis (CRMO) is a rare disease of bone first described by Giedion et al in 1972. It is associated with several pathologic processes including psoriasis, palmoplantar pustulosis, and SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis, and osteitis). The only published association of CRMO and Crohn's disease was reported by Bognar et al in 1998. The authors describe the association of CRMO and ulcerative colitis (UC) in a 12-year-old girl. As far as the authors know, this is the first published report of CRMO associated with UC and the second of CRMO associated with inflammatory bowel diseases.- - - - - - - - - - ranking = 0.2keywords = palm (Clic here for more details about this article) |
7/72. Treatment of resistant discoid lupus erythematosus of the palms and soles with mycophenolate mofetil.Mycophenolate mofetil is an immunosuppressive drug that has recently been used to treat a variety of autoimmune and inflammatory skin diseases. Expanding the use of this agent in dermatology, we describe 2 patients with both systemic lupus erythematosus and discoid lupus erythematosus whose recalcitrant palmoplantar lesions were successfully treated with mycophenolate mofetil.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
8/72. Aggressive keloid scarring of the Caucasian wrist and palm.keloid scarring of the distal upper extremity is very rare. We report a Caucasian woman who presented with aggressive keloids of the hand and wrist causing De Quervain's syndrome, superficial radial-nerve entrapment and ulnar-nerve compression at the wrist. Multiple operations were required to alleviate her symptoms. A number of management conundrums arose, requiring defensive planning to pre-empt the possible complications of recurrent keloid scarring as a result of the surgical procedures.- - - - - - - - - - ranking = 0.8keywords = palm (Clic here for more details about this article) |
9/72. Nodular presentation of eosinophilic cellulitis (Wells' syndrome).Eosinophilic cellulitis is a rare condition of unknown aetiology. The classical presentation is of a tender or mildly pruritic cellulitis-like eruption, that has typical histology characterized by tissue eosinophilia, oedema and "flame" figures. Other reported clinical presentations include papular and nodular eruptions. It may be recurrent, and preceded at a variable time by a pruritic papular eruption. We describe a patient with the rare nodular variant of eosinophilic cellulitis affecting the palms of the hands, which occurred 2 years after a nonspecific pruritic papular eruption, without an obvious precipitant and in the absence of the more typical cellulitis-like plaques.- - - - - - - - - - ranking = 0.2keywords = palm (Clic here for more details about this article) |
10/72. Dupuytren's cord involving the septa of Legueu and Juvara: a case report.A patient with Dupuytren's disease with involvement of the palmar fascial complex and digital contracture is described. A vertical cord had developed in the transverse ligament of the palmar aponeurosis fibers and the underlying septa of Legueu and Juvara. The cord was composed of a pretendinous band, transverse ligament of the palmar aponeurosis, and septum of Legueu and Juvara. The cord was attached deeply in the soft tissue confluence of the sagittal band, palmar plate, and interpalmar plate ligament. Involvement of the transverse ligament of the palmar aponeurosis and septa of Legueu and Juvara in Dupuytren's disease is rare. Understanding of the normal and pathologic fascial anatomy explains their simultaneous involvement and is necessary for complete ablation of the diseased tissue.- - - - - - - - - - ranking = 1.2keywords = palm (Clic here for more details about this article) |
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