Puffy hand syndrome revealed by a severe staphylococcal skin infection.
Identifieur interne : 001854 ( PubMed/Curation ); précédent : 001853; suivant : 001855Puffy hand syndrome revealed by a severe staphylococcal skin infection.
Auteurs : Reyhan Amode [France] ; Paul Bilan ; Carole Sin ; Anaïs Marchal ; Michèle-Léa Sigal ; Emmanuel MahéSource :
- Case reports in dermatological medicine [ 2090-6463 ] ; 2013.
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.
DOI: 10.1155/2013/376060
PubMed: 24198977
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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.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">24198977</PMID><DateCreated><Year>2013</Year><Month>11</Month><Day>07</Day></DateCreated><DateCompleted><Year>2013</Year><Month>11</Month><Day>07</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2090-6463</ISSN><JournalIssue CitedMedium="Print"><Volume>2013</Volume><PubDate><Year>2013</Year></PubDate></JournalIssue><Title>Case reports in dermatological medicine</Title><ISOAbbreviation>Case Rep Dermatol Med</ISOAbbreviation></Journal><ArticleTitle>Puffy hand syndrome revealed by a severe staphylococcal skin infection.</ArticleTitle><Pagination><MedlinePgn>376060</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1155/2013/376060</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Amode</LastName><ForeName>Reyhan</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Service de Dermatologie, Hôpital Victor Dupouy, 69 rue du Lieutenant-Colonel Prud'hon, 95100 Argenteuil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bilan</LastName><ForeName>Paul</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Sin</LastName><ForeName>Carole</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Marchal</LastName><ForeName>Anaïs</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Sigal</LastName><ForeName>Michèle-Léa</ForeName><Initials>ML</Initials></Author><Author ValidYN="Y"><LastName>Mahé</LastName><ForeName>Emmanuel</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>10</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Case Rep Dermatol Med</MedlineTA><NlmUniqueID>101591808</NlmUniqueID><ISSNLinking>2090-6463</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 2000 Dec;33(4):177-80</RefSource><PMID Version="1">11191659</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Dermatol Venereol. 2006 Oct;133(10):769-72</RefSource><PMID Version="1">17072191</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Addiction. 2006 Sep;101(9):1347-51</RefSource><PMID Version="1">16911735</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Arch Dermatol. 1971 Jul;104(1):80-6</RefSource><PMID Version="1">5120168</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Mal Vasc. 2004 Oct;29(4):201-4</RefSource><PMID Version="1">15529083</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Res Nurs Health. 2001 Oct;24(5):423-32</RefSource><PMID Version="1">11746071</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 1974 Apr;53(4):445-51</RefSource><PMID Version="1">4815702</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br Med J. 1970 Jun 13;2(5710):647-50</RefSource><PMID Version="1">5429110</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Arch Dermatol. 2006 Aug;142(8):1084-5</RefSource><PMID Version="1">16924076</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Gastroenterol Clin Biol. 1988 Dec;12(12):894-8</RefSource><PMID Version="1">3069543</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC3807844</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>08</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>09</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>11</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>11</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>11</Month><Day>8</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24198977</ArticleId><ArticleId IdType="doi">10.1155/2013/376060</ArticleId><ArticleId IdType="pmc">PMC3807844</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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