Unilateral Pseudo-Ainhum in Liver Cirrhosis

Abstract

BACKGROUND: Pseudo-ainhum is defined as any case of auto‐amputation not associated with the classic spontaneous ainhum seen in Africans with unknown etiology.
 CASE PRESENTATION: A severely ill 58-year-old male patient presented with a painless constricting circular band on his left second toe. His medical history was remarkable for severe alcoholic liver cirrhosis with ascites formation leading to dyspnea. He had a hypoalbuminemia and a pronounced peripheral sensory neuropathy.
 CONCLUSION: Here we present the second case of pseudo-ainhum associated with liver cirrhosis.

Pseudo‐ainhum in a patient with CREST syndrome

“…Atypical localizations have been described such as the glans penis and the nipple 2 . The disease is most commonly secondary to inherited (Streeter dysplasia, epidermolytic and lamellar ichthyosis, palmoplantar keratoderma) 3 or acquired conditions (systemic sclerosis, keratoderma, lepra, psoriasis, trauma, peripheral neuropathy, liver cirrhosis, chronic pulmonary insufficiency) 4 . The association between pseudo‐ainhum and CREST syndrome has not been previously described.…”