Discusión entre pares / 35 year old female presenting with pain and swelling over radial aspect of nail fold of middle finger since 8 to 10 years

Anuj Agrawal

Me gusta ·  · 15 de marzo a la(s) 8:45

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  Kir Pat Anuj Agrawal ???/

  15 de marzo a la(s) 8:56 · Me gusta
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  Anuj Agrawal 35 year old female presenting with pain and swelling over radial aspect of nail fold of middle finger since 8 to 10 years. Dystrophic lateral nail plate, with longitudinal ridge. History of cold sensitivity. X-rays normal.
  Diagnosis and management?

  15 de marzo a la(s) 8:59 · Me gusta · 1
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  Kir Pat Glomus?

  15 de marzo a la(s) 9:02 · Me gusta · 2
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  Kir Pat Characteristic triad of symptoms of temperature sensitivity, severe pain and localized tenderness

  15 de marzo a la(s) 9:06 · Me gusta · 2
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  Kir Pat Hildreth's test ,Love,s test..Thanks Anuj Agrawal,I revive my knowledge after your posting ...Never performed this test...but hildreth,s test has high predictability value..what abt your pt?

  15 de marzo a la(s) 9:28 · Me gusta
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  Kir Pat like to share http://apps.elsevier.es/watermark/ctl_servlet?_f=10...

  15 de marzo a la(s) 9:30 · Me gusta · 2
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  Anuj Agrawal Hildreth's was positive in the patient. Love's was not typically positive, with the tenderness more diffuse rather than pinpoint.
  I post these cases for teaching purposes only. The characteristic triad, esp cold sensitivity, is diagnostic and further investigations (MRI) are not warranted.

  15 de marzo a la(s) 9:34 · Me gusta · 1
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  Kir Pat I have removed using opthalmo microscope once only..along with nail excision.

  15 de marzo a la(s) 9:36 · Me gusta
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  Anuj Agrawal Many surgical approaches are described for excision- transungual, paraungual and lateral. I prefer a transungual approach, as it gives a wide exposure.
  Will add intra-op pics..

  15 de marzo a la(s) 9:46 · Me gusta · 1
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  Manav Reddy thnku informative sir 

  15 de marzo a la(s) 10:09 · Me gusta
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  Aud Hussain glomus tumour,,,just remove the nail you will find a bluish tiny tumour in the nail bed

  15 de marzo a la(s) 15:14 · Me gusta
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  Girish Vimal Thanx dr kiran patel & dr anuj agrawal

  15 de marzo a la(s) 16:15 · Me gusta · 1
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  Anuj Agrawal The lateral half of nail plate was excised, the proximal nail fold was incised obliquely at the radial corner and a skin flap was raised to expose the bluish-red tumor.

  

  16 de marzo a la(s) 2:51 · Me gusta
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  Anuj Agrawal The tumor measured 8*8*6 mm. Histopathological confirmation is awaited.

  

  16 de marzo a la(s) 2:54 · Me gusta · 1
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  Anuj Agrawal The tumor bed was curetted before replacement of the skin flap.

  

  16 de marzo a la(s) 2:58 · Me gusta
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  Girish Vimal Can u please post some intraop pics dr anuj...!

  16 de marzo a la(s) 20:33 · Me gusta
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  Anuj Agrawal The last 3 pics are intra-op.. have not clicked more.

  16 de marzo a la(s) 20:49 · Me gusta
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  Girish Vimal No operative pics visible. pl post them again.

  16 de marzo a la(s) 21:00 · Me gusta
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  Anuj Agrawal They are posted in my last 3 comments, before your comment. 
  The images were not initially created as an album, so could not add images. Hence, posted as comments.

  16 de marzo a la(s) 21:25 · Me gusta