The Voice of the Lost Toe: Pseudo-Ainhum Beyond Skin.

An 11-year-old boy presented with serial autoamputations of the right 4th and 5th toes during the past 6 years. This was associated with sensory loss on the right leg and development of constriction bands around the right 2nd and 3rd digits for the past 5 months. For a year, the patient had been treated with paucibacillary, multi-drug therapy (PB-MDT) with a presumptive diagnosis of leprosy. He was born from a nonconsanguinous marriage and the birth was uneventful. The developmental milestones were normal, and no family history of any congenital anomalies was reported.

Ainhum--a case report.

AINHUM which has been described as one of the conditions to be differentiated from leprosy was met in the field in a village of Andhra Pradesh. The condition was found in a young adult male involving both the little toes. It was found to be slow progressive associated with pain.

Ainhum y Pseudo Ainhum en la lepra

Se realiza un estudio del Ainhum y de las lesiones parecidas a esta entidad en la lepra que se denominan pseudoainhum. Se estudiaron tres casos de pacientes ingresados en el hospital antileproso, portadores de la lepra lepromatosa con lesiones de pseudoainhum, localizados en el cuarto artejo del pie derecho, en el quinto dedo de la mano derecha y en los dedos tercero y cuarto de la mano izquierda y quinto dedo de la mano derecha del primero, segundo y tercer caso respectivamente. Se relaciona la patogenia de estas lesiones como consecuencia de las lesiones neurotróficas de la lepra y los microtraumas con sus complicaciones. Es baja la incidencia de esta patología en nuestro medio 6,57 por ciento de 219 pacientes ingresados, en comparación con la encontrada por otros autores