Acrodermatitis continua of Hallopeau (ACH) is an uncommon inflammatory disease manifesting as sterile pustular eruption of the fingers and toes. The disease is of a chronic relapsing nature and is often refractory to treatment. With longstanding disease, osteitis with consequent bone resorption of the underlying phalanges can occur, leading to disability. While the incidence of ACH is rare in children, complications like osteolysis have not been reported previously in this age group. In this paper, we report the case of an 8-year-old boy with severe ACH complicated by bone resorption.
Patient: Female, 84
Final Diagnosis: Bilateral fat containing lumbar hernia
Symptoms: Abdominal pain
Medication: —
Clinical Procedure: —
Specialty: Surgery
Objective:
Rare disease
Background:
Lumbar hernias continue to be rare and challenging regarding optimal treatment protocols. While computed tomography scan is considered the best imaging modality for assessment, we think there is a role for ultrasound in establishing a diagnosis seeking proper management and avoiding complications.
Case Report:
We present the case of an 84-year-old Saudi female who was known to have multiple chronic illnesses with bilateral flank swellings that were diagnosed as bilateral noncomplicated lumbar hernias which was treated conservatively with no complications.
Conclusions:
Since the reported case is rarely encountered by surgeons, a low threshold to diagnosis is required. Finally, there is no consensus on management, and further studies to further investigate lumbar hernias are needed.
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