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{ "pk": 801, "title": "Pyogenic Flexor Tenosynovitis as a Rare Complication of Dyshidrotic Eczema", "subtitle": null, "abstract": "Introduction: Pyogenic flexor tenosynovitis is an unusual complication of dyshidrotic eczema. The diagnosis has traditionally been made by Kanavel’s signs. Point-of-care ultrasound can be a useful adjunct in the diagnosis of this surgical emergency.\nCase Report: We report the case of a 23-year-old male who presented with right middle finger pain and swelling and an overlying eczematous rash. The use of point-of-care ultrasound was performed to aid in the diagnosis of pyogenic flexor tenosynovitis. An incision and drainage was performed with deep wound cultures positive for Staphylococcus aureus.\nDiscussion: The presentation of pyogenic flexor tenosynovitis with underlying concomitant dermatological disease can complicate this challenging diagnosis. Point-of-care ultrasound can be an effective adjunct in revealing pyogenic flexor tenosynovitis rather than relying solely on the classical Kanavel’s signs, leading to earlier treatment. Conclusion: Our case demonstrates that point-of-care ultrasound can be a rapid and effective tool for the diagnosis of pyogenic flexor tenosynovitis in the setting of superimposed dermatological diseases.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "flexor tenosynovitis" }, { "word": "pyogenic" }, { "word": "eczema" }, { "word": "dyshidrotic" }, { "word": "ultrasound" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2z90f2dk", "frozenauthors": [ { "first_name": "Waroot", "middle_name": "S.", "last_name": "Nimjareansuk", "name_suffix": "", "institution": "Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Rosselli", "name_suffix": "", "institution": "Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida", "department": "None" } ], "date_submitted": "2020-03-27T20:26:48Z", "date_accepted": "2020-03-27T20:26:48Z", "date_published": "2020-03-27T20:42:04Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/801/galley/554/download/" } ] }