Scleroderma of the palm
Introduction
Introduction Hard palm edema is local edema caused by inflammation of the palm tissue due to trauma, infection, autoimmune and other factors. For various reasons, some edema will last for more than one month to 1-2 years, we will continue the edema after injury. Those who have not regressed over the week are called sustained edema, and some of them are rich in protein, which will accumulate a large amount of cellulose. Together with the inflammatory hyperplasia, scar tissue will form, making the skin and subcutaneous hard. . That forms "hard edema."
Cause
Cause
1, lymphoid primary lymphedema (congenital lymphedema, early onset lymphatic edema), secondary lymphedema (tumor infection surgery radiation, etc.).
2, venous obstructive tumor compression or tumor metastasis, local inflammatory venous thrombosis, thrombophlebitis, scar contraction and trauma. Can be divided into chronic venous insufficiency vena cava obstruction syndrome, inferior vena cava obstruction syndrome and other venous obstruction.
3, erysipelas, bloated, snake poison, poisoning and so on.
4. Allergic reactions such as allergic urticaria, serum diseases, food drug irritations, and external use.
5, vascular neuropathy may be allergic or neurogenic may be induced by insect mechanical stimulation of warm stimulation or emotional arousal. Some cases are related to heredity.
6, trauma, stress and so on.
7. Kawasaki disease.
Examine
an examination
Related inspection
Blood examination of bone and joint and soft tissue CT examination of neutrophil chemotaxis test
Subcutaneous congestion is caused by the damage of the microvascular damage under the skin, and the blood stasis under the skin, which forms subcutaneous blood stasis. The skin of the blood stasis is blue-purple, and there is no big problem except for the slight uplift and pain in the vicinity of the wound. It should be noted whether the damage of the following bones and internal organs is caused by hard edema in the palm of the hand, and early flushing occurs. Sexual fingers have large pieces of peeling, which is common at the junction of the nail bed skin.
Diagnosis
Differential diagnosis
Abnormal palm hardness: palms are thick and fleshy, elastic, mostly energetic, strong and adaptable. Abnormal palm firmness may indicate the occurrence of certain diseases.
Invisible edema: It is the edema that cannot be seen by the appearance. Generally, the weight increases faster than the standard. Some pregnant women have no obvious edema on the surface, but their weight gain exceeds 1 kilogram per week, which is recessive edema.
Redness and swelling of the back of the hand is a clinical symptom of acute infection in the palm of the hand. The local infection of the acute infection in the palm of the hand is characterized by redness and swelling of the skin on the back of the hand. 1. The local characteristics of the acute infection in the palmar space are: 1 palm palm concave disappeared or slightly bulged, the skin was white, pain and pressure sickness was obvious. The two-finger three-finger is semi-buckled, and the pain is exacerbated when the finger is passively extended. 3 hands on the back of the skin is red, swollen and obvious, often easy to mistaken for cellulitis.
Feelings of hands and fingers: The condylar chest muscle syndrome will have full feeling of hands and fingers, and the forearms and fingers have numbness and tingling. The disease occurs in young people with muscular, short, and thick neck, more than the onset of work. Hands and fingers are full and numb and tingling on the forearms and fingers.
Hard edema occurs in the palm of the hand, and early flushing occurs. During the recovery period, characteristic finger-like peeling occurs, which is common at the junction of the nail bed skin.
