Toe-Tourniquet Syndrome: A Diagnostic Dilemma

    July 2006 in “ Annals of The Royal College of Surgeons of England ”
    Parkash Lohana, Girish N. Vashishta, Neil Price
    TLDR Hair or fiber wrapped tightly around a toe can lead to serious injury if not treated quickly.
    The document from 2006 discusses the 'toe-tourniquet' syndrome, a condition where a strand of hair or fiber wraps tightly around a digit, leading to strangulation and potential loss of the appendage if not promptly treated. The syndrome is often misdiagnosed or overlooked, leading to a delay in treatment. The document presents a case of a 6-week-old baby with a strand of hair causing constriction in the third toe, which was successfully treated by removing the hair and making an incision to decompress the toe. The document also discusses the relationship of this syndrome to telogen effluvium, a condition of excessive hair shedding postpartum, suggesting that the increased hair loss could lead to more instances of the syndrome. The document concludes by emphasizing the importance of early diagnosis and treatment of the toe-tourniquet syndrome and the need to avoid misinterpreting the condition as child abuse.
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