Enfermedad de Dupuytren: revisión / Dupuytren disease
Rev. méd. Chile
; 140(9): 1185-1190, set. 2012.
Article
em Es
| LILACS
| ID: lil-660078
Biblioteca responsável:
CL1.1
ABSTRACT
Background:
Dupuytren disease (DD) is a connective tissue disorder that consists in fibroma-tosis of the palmar and digital fascia (in form of nodules or flanges) that leads to the development of flexion contractures of the palm and fingers. The little and ring finger are particularly affected. The disease can limit hand function, reducing the quality of life. The disease can have a traumatic origin and is also associated with conditions such as diabetes mellitus, alcoholism, dyslipidemia, epilepsy and AIDS, among others. However, none of these conditions can fully explain the genesis of DD. A hereditary component is described in 40% of patients and is attributed to an autosomal dominant gene of variable penetrance, probably related to collagen synthesis. However there are also spontaneous and recessive inheritance cases. The diagnosis is clinical and based on physical examination. Treatment ranges from observation or use of injectable collagenase to the surgical option in cases with significant functional limitations.Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Contratura de Dupuytren
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2012
Tipo de documento:
Article