How Did Hair Get Wrapped Around Baby Toe
| Pilus tourniquet | |
|---|---|
| Other names | Toe tourniquet, thread tourniquet syndrome,[1] hair-thread tourniquet syndrome[one] |
 | |
| Pilus tourniquet | |
| Symptoms | Pain and swelling of the afflicted part[ane] |
| Complications | Tissue death, autoamputation[1] |
| Usual onset | 2 to vi months of historic period[ane] |
| Hazard factors | Autism, trichotillomania[ane] |
| Prevention | Parent keeping long hair brushed and back, washing infant'south clothes separately[1] |
| Treatment | Substance that breaks down hair, cut through the hair[1] |
| Prognosis | Good with early on treatment[two] |
| Frequency | Rare[i] |
Hair tourniquet is a status where hair or thread becomes tightly wrapped around almost commonly a toe, and occasionally a finger, genitals, or other trunk parts.[1] This results in pain and swelling of the affected part.[1] Complications tin include tissue death due to lack of claret catamenia.[1] It occurs nigh usually among children around four months of age,[one] though cases have been described in older children and adults.[ii]
Most cases occur accidentally.[ane] Take a chance factors may include autism and trichotillomania.[i] The mechanism is believed to involve wet hair become wrapped around a trunk part and then tightening as it dries.[1] Diagnosis involves examination of the entire child.[i] Prevention is by keeping the parent's hair from contact with the baby such equally by the parent keeping their pilus brushed and dorsum and washing the infant'southward article of clothing separately.[1]
Treatment is with a substance that breaks down pilus or cutting through the hair.[1] The condition is rare.[1] Males and females are equally oft affected.[1] The first medical description dates from 1832.[1] In some cultures thread is tied effectually the penis of children with bedwetting or for luck.[ane]
Signs and symptoms [edit]
As this is a condition primarily of young children, symptoms are rarely reported. The child will go all of a sudden uncomfortable and miserable. Equally the digit is often inside a sock, the cause may not be clear.
The afflicted toe can no longer receive an adequate blood supply via the arteries, nor tin blood exist tuckered via the veins. The toe will therefore swell and plow blueish, indicating ischemia.
The ligature will not stretch in response to the toe swelling and will therefore cutting into the skin in more severe cases, like a cheese-wire.
Treatment [edit]
A toe freed of a hair tourniquet. The toe has had to be cutting longitudinally to split the hair
The ligature is cut or dissolved as quickly equally possible. Ofttimes it is possible to elevator a portion of it to enable cutting, but in a severe case the ligature must be cutting through the skin. This is, of grade, injurious to the child, but may foreclose loss of the digit. Information technology must take place on the side of the toe, where in that location are no fretfulness or tendons.[3]
Other treatment not requiring pocket-sized surgery includes use of a chemic depilatory, such as the over-the-counter product Nair, to dissolve or weaken the hair. This option is not indicated if the hair tourniquet has cut into the skin. Use of depilatory products such as Nair is non an constructive treatment on nylon or other fibers that are not man hair.[iii]
Prognosis [edit]
Despite the distressing nature of the condition, outcomes are excellent. Loss of the toe is extremely rare, every bit is whatsoever residue disability. In rare cases the loss of a digit is possible. Rubber bands can have the aforementioned effect.[3]
Meet also [edit]
- Tourniquet
References [edit]
- ^ a b c d e f thou h i j 1000 l g n o p q r s t u v westward Gottlieb, 1000; Holladay, D; Spearman, D (May 2019). "Current Approach to the Evaluation and Management of Hair-Thread Tourniquets". Pediatric Emergency Care. 35 (5): 377–379. doi:10.1097/PEC.0000000000001827. PMID 31045982. S2CID 143423818.
- ^ a b "Hair Tourniquet Removal: Background, Indications, Contraindications". 13 March 2019. Retrieved 17 October 2019.
- ^ a b c Sivathasan, Niroshan; Vijayarajan, Lavnya (2012). "Hair-Thread Tourniquet Syndrome: A Case Report and Literature Review". Instance Reports in Medicine. 2012: 171368. doi:ten.1155/2012/171368. ISSN 1687-9627. PMC3478744. PMID 23118759.
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Source: https://en.wikipedia.org/wiki/Hair_tourniquet
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