LymphedemaV1, France, Analysis, bibRecord, 000149

Puffy Hand Syndrome Revealed by a Severe Staphylococcal Skin Infection

Identifieur interne : 000149 ( France/Analysis ); précédent : 000148; suivant : 000150

Puffy Hand Syndrome Revealed by a Severe Staphylococcal Skin Infection

Auteurs : Reyhan Amode [France] ; Paul Bilan [France] ; Carole Sin [France] ; Anaïs Marchal [France] ; Michèle-Léa Sigal [France] ; Emmanuel Mahé [France]

Source :

Case Reports in Dermatological Medicine [ 2090-6463 ] ; 2013.

RBID : PMC:3807844

Abstract

Puffy hand syndrome develops after long-term intravenous drug addiction. It is characterized by a nonpitting edema, affecting the dorsal side of fingers and hands with puffy aspect. Frequency and severity of the complications of this syndrome are rarely reported. Local infectious complications such as cellulitis can be severe and can enable the diagnosis. Herein, we report the case of a 41-year-old man who went to the emergency department for abdominal pain, fever, and bullous lesions of legs and arms with edema. Bacteriologic examination of a closed bullous lesion evidenced a methicillin sensitive Staphylococcus aureus. The abdomen computed tomography excluded deep infections and peritoneal effusion. The patient was successfully treated by intravenous oxacillin and clindamycin. He had a previous history of intravenous heroin addiction. We retained the diagnosis of puffy hand syndrome revealed by a severe staphylococcal infection with toxic involvement mimicking a four limbs cellulitis. Puffy hand syndrome, apart from the chronic lymphedema treatment, has no specific medication available. Prophylactic measures against skin infections are essential.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3807844

DOI: 10.1155/2013/376060
PubMed: 24198977
PubMed Central: 3807844

Affiliations:

Links to Exploration step

PMC:3807844

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p>Puffy hand syndrome develops after long-term intravenous drug addiction. It is characterized by a nonpitting edema, affecting the dorsal side of fingers and hands with puffy aspect. Frequency and severity of the complications of this syndrome are rarely reported. Local infectious complications such as cellulitis can be severe and can enable the diagnosis. Herein, we report the case of a 41-year-old man who went to the emergency department for abdominal pain, fever, and bullous lesions of legs and arms with edema. Bacteriologic examination of a closed bullous lesion evidenced a methicillin sensitive <italic>Staphylococcus aureus</italic>
. The abdomen computed tomography excluded deep infections and peritoneal effusion. The patient was successfully treated by intravenous oxacillin and clindamycin. He had a previous history of intravenous heroin addiction. We retained the diagnosis of puffy hand syndrome revealed by a severe staphylococcal infection with toxic involvement mimicking a four limbs cellulitis. Puffy hand syndrome, apart from the chronic lymphedema treatment, has no specific medication available. Prophylactic measures against skin infections are essential.</p>
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Serveur d'exploration sur le lymphœdème

Puffy Hand Syndrome Revealed by a Severe Staphylococcal Skin Infection

Puffy Hand Syndrome Revealed by a Severe Staphylococcal Skin Infection

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Abstract

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