Dactylitis

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Dactylitis
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Syphilitic dactylitis

Dactylitis or sausage digit is inflammation of an entire digit (a finger or toe), [1] and can be painful.

The word dactyl comes from the Greek word daktylos 'finger'. As a medical term, it refers to both the fingers and the toes.

Associated conditions

Dactylitis can occur in seronegative arthropathies, such as psoriatic arthritis and ankylosing spondylitis, and in sickle-cell disease as result of a vasoocclusive crisis with bone infarcts, and in infectious conditions including tuberculosis, syphilis, and leprosy. In reactive arthritis, sausage fingers occur due to synovitis. [2] Dactylitis may also be seen with sarcoidosis.

In sickle-cell disease it typically occurs after 6 months of age (as in infants protective fetal hemoglobin, HbF, is replaced with adult hemoglobin and the disease manifests) and is often the first clinical presentation of the disorder. [3]

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References

  1. "dactylitis" at Dorland's Medical Dictionary
  2. Robbins, Stanley Leonard; Kumar, Vinay; Abbas, Abdul K.; Cotran, Ramzi S.; Fausto, Nelson (2010). "Robbins and Cotran pathologic basis of disease". In Vinay Kumar, Abul K. Abbas, Nelson Fausto. Robbins Pathology Series (Elsevier). p. 205. ISBN   978-1-4160-3121-5.
  3. Buchanan, Ivy (1 March 1983). "DACTYLITIS". Nursing Clinics of North America. 18 (1): 141. doi:10.1016/S0029-6465(22)01712-1. ISSN   0029-6465.