Reverse digital artery flap for Pacinian hypertrophy of the fingertip: A rare case report

Summary: Pacinian corpuscle hyperplasia is a pathological increase in the size (Pacinian hypertrophy) and/or density of mature Pacinian corpuscles. Although its aetiology and pathogenesis remain unclear, surgery is the main treatment. Here, we report a rare case of Pacinian hypertrophy at the finger...

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Autores principales:	Seigo Suganuma, MD, PhD, Kaoru Tada, MD, PhD, Daisuke Yamauchi, MD, PhD, Shingo Takagawa, MD, Hidetoshi Yasutake, MD, PhD, Keito Shimanuki, MD, Hiroshi Minato, MD, PhD, Hiroyuki Tsuchiya, MD, PhD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Pacinian hypertrophy fingertip reverse digital artery flap pain Surgery RD1-811
Acceso en línea:	https://doaj.org/article/eb54a08f3edd41e18e102e169f1ddd0e
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spelling	oai:doaj.org-article:eb54a08f3edd41e18e102e169f1ddd0e2021-12-02T05:02:05ZReverse digital artery flap for Pacinian hypertrophy of the fingertip: A rare case report2352-587810.1016/j.jpra.2021.08.001https://doaj.org/article/eb54a08f3edd41e18e102e169f1ddd0e2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352587821000723https://doaj.org/toc/2352-5878Summary: Pacinian corpuscle hyperplasia is a pathological increase in the size (Pacinian hypertrophy) and/or density of mature Pacinian corpuscles. Although its aetiology and pathogenesis remain unclear, surgery is the main treatment. Here, we report a rare case of Pacinian hypertrophy at the fingertip treated with surgical excision and reconstruction using a reverse digital artery flap. A 47-year-old man presented with injuries to his right little finger, which was wedged in a door while unloading a truck. His fingertip was amputated and stump plasty was performed. However, severe pain persisted at the fingertip for 5 months after the surgery. Therefore, the painful part of his fingertip was resected, and reconstruction was performed using a reverse digital artery flap 6 months after the injury. Haematoxylin and eosin staining of the resected specimen revealed scar tissue with foreign body reaction and mild Pacinian hypertrophy. One year has passed since the injury, and the pain has completely disappeared. The patient regained complete range of motion in his little finger and was able to resume work without any limitations. Surgical excision with sufficient margin and reconstruction with a reverse digital artery flap is a reliable method to relieve pain due to Pacinian hypertrophy at the fingertip.Seigo Suganuma, MD, PhDKaoru Tada, MD, PhDDaisuke Yamauchi, MD, PhDShingo Takagawa, MDHidetoshi Yasutake, MD, PhDKeito Shimanuki, MDHiroshi Minato, MD, PhDHiroyuki Tsuchiya, MD, PhDElsevierarticlePacinian hypertrophyfingertipreverse digital artery flappainSurgeryRD1-811ENJPRAS Open, Vol 30, Iss , Pp 91-96 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pacinian hypertrophy fingertip reverse digital artery flap pain Surgery RD1-811
spellingShingle	Pacinian hypertrophy fingertip reverse digital artery flap pain Surgery RD1-811 Seigo Suganuma, MD, PhD Kaoru Tada, MD, PhD Daisuke Yamauchi, MD, PhD Shingo Takagawa, MD Hidetoshi Yasutake, MD, PhD Keito Shimanuki, MD Hiroshi Minato, MD, PhD Hiroyuki Tsuchiya, MD, PhD Reverse digital artery flap for Pacinian hypertrophy of the fingertip: A rare case report
description	Summary: Pacinian corpuscle hyperplasia is a pathological increase in the size (Pacinian hypertrophy) and/or density of mature Pacinian corpuscles. Although its aetiology and pathogenesis remain unclear, surgery is the main treatment. Here, we report a rare case of Pacinian hypertrophy at the fingertip treated with surgical excision and reconstruction using a reverse digital artery flap. A 47-year-old man presented with injuries to his right little finger, which was wedged in a door while unloading a truck. His fingertip was amputated and stump plasty was performed. However, severe pain persisted at the fingertip for 5 months after the surgery. Therefore, the painful part of his fingertip was resected, and reconstruction was performed using a reverse digital artery flap 6 months after the injury. Haematoxylin and eosin staining of the resected specimen revealed scar tissue with foreign body reaction and mild Pacinian hypertrophy. One year has passed since the injury, and the pain has completely disappeared. The patient regained complete range of motion in his little finger and was able to resume work without any limitations. Surgical excision with sufficient margin and reconstruction with a reverse digital artery flap is a reliable method to relieve pain due to Pacinian hypertrophy at the fingertip.
format	article
author	Seigo Suganuma, MD, PhD Kaoru Tada, MD, PhD Daisuke Yamauchi, MD, PhD Shingo Takagawa, MD Hidetoshi Yasutake, MD, PhD Keito Shimanuki, MD Hiroshi Minato, MD, PhD Hiroyuki Tsuchiya, MD, PhD
author_facet	Seigo Suganuma, MD, PhD Kaoru Tada, MD, PhD Daisuke Yamauchi, MD, PhD Shingo Takagawa, MD Hidetoshi Yasutake, MD, PhD Keito Shimanuki, MD Hiroshi Minato, MD, PhD Hiroyuki Tsuchiya, MD, PhD
author_sort	Seigo Suganuma, MD, PhD
title	Reverse digital artery flap for Pacinian hypertrophy of the fingertip: A rare case report
title_short	Reverse digital artery flap for Pacinian hypertrophy of the fingertip: A rare case report
title_full	Reverse digital artery flap for Pacinian hypertrophy of the fingertip: A rare case report
title_fullStr	Reverse digital artery flap for Pacinian hypertrophy of the fingertip: A rare case report
title_full_unstemmed	Reverse digital artery flap for Pacinian hypertrophy of the fingertip: A rare case report
title_sort	reverse digital artery flap for pacinian hypertrophy of the fingertip: a rare case report
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/eb54a08f3edd41e18e102e169f1ddd0e
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Reverse digital artery flap for Pacinian hypertrophy of the fingertip: A rare case report

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