Levent KORKMAZ, Osman BAŞTUĞ, Hülya HALİS, Selim KURTOĞLU, Sabriye KORKUT

Preterm bebekte saç-iplik turnike sendromu

Saç iplik turnike sendromu saç ya da ipliğin uzuvlara dolanmasıyla belirgin, ender görülen bir hastalıktır. Olguların çoğunluğunu genellikle bir yaş altı çocuklar oluşturur. Saç iplik turnike sendromu sıklıkla uzuvlar olan el ve ayak parmakları, penis, klitoris, labia, boyun ve küçük dil gibi bedenin farklı parçalarını etkileyebilir. Sendrom ilerleyici ödem, iskemi ve doku nekrozu ve tutulan uzvun oto amputasyonuna ilerleyebildiği için acil olarak tedavi edilmesi gereken bir durumdur. Acil tedavi olarak daraltıcı lifin dikkatlice çıkarılması gerekmektedir. Birden fazla ayak parmağının etkilendiği saç-iplik turnike sendromlu 28. gebelik haftasında doğan preterm bir bebeği, bu duruma farkındalığı arttırarak, oluşabilecek olası tehlikelerin engellenebilmesi açısından sunmayı uygun bulduk

Hair-thread tourniquet syndrome in a preterm baby

Hair-thread tourniquet syndrome is a rare disorder characterized by the encircling of an appendage by a hair or thread. It usually occurs in children under the age of one year. The tourniquet syndrome may occur in different parts of the body, particularly in toes, fingers, penis, clitoris, labia, neck and uvula. It is an emergency condition that induces progressive edema, ischaemia and tissue necrosis and can lead to autoamputation of digits or other strangulated structures. Emergency treatment is careful removal of the constricting fiber. We report a preterm newborn with hair-thread tourniquet syndrome affecting multiple toes born at the 28th gestational week with the aim of preventing potential complications by increasesing awareness of the condition

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Sivathasan N, Vijayarajan L. Hair-thread tourniquet syndrome: a case report and literature review. Case Rep Med 2012; 2012: 171368. [CrossRef ]
Alvarez-Pe?rez A, Mateo S, Fernández-Redondo V, Toribio J. Hair-thread tourniquet syndrome: a hidden hazard. Pediatr Dermatol 2013; 30: e61-2. [CrossRef ]
Hussain HM. A hair tourniquet resulting in strangula- tion and amputation of penis: case report and literature review. J Paediatr Child Health 2008; 44: 606-7.
Hickey BA, Gulati S, Maripuri SN. Hair toe tourniquet syndrome in a four-year-old boy. J Emerg Med 2013; 44: 358-9. [CrossRef ]
Quinn NJ Jr. Toe tourniquet syndrome. Pediatrics 1971; 48: 145-6.
Barton DJ, Sloan GM, Nichter LS, Reinisch JF. Hair-thre- ad tourniquet syndrome. Pediatrics 1988; 82: 925-8.
Mackey S, Hettiaratchy S, Dickinson J. Hair-tourniquet syndrome--multiple toes and bilaterality. Eur J Emerg Med 2005; 12: 191-2. [CrossRef ]
Cevik Y, Kavalci C. Hair tourniquet syndrome. Ann Saudi Med 2010; 30: 416-7. [CrossRef ]
Claudet I, Pasian N, Mare?chal C, Salanne S, Debuisson C, Grouteau E. Hair-thread tourniquet syndrome. Arch Pediatr 2010; 17: 474-9. [CrossRef ]
Claudet I, Pasian N, Debuisson C, Salanne S, Rekhroukh H. Tourniquet syndrome: interest of a systematic analy- sis of families' social conditions to detect neglect situati- ons. Child Abuse Negl 2009; 33: 569-72. [CrossRef ]
García-Mata S, Hidalgo-Ovejero A. Hair tourniquet syndrome of the toe: report of 2 new cases. J Pediatr Ort- hop 2009; 29: 860-4. [CrossRef ]
Mat Saad AZ, Purcell EM, McCann JJ. Hair-thread tourni- quet syndrome in an infant with bony erosion: a case re- port, literature review, and meta-analysis. Ann Plast Surg 2006; 57: 447-52. [CrossRef ]
Unlü C, Gundlach U, Vrouenraets BC. Toe hair-thread tour- niquet syndrome. South Med J 2009; 102: 663-4. [CrossRef]
Haene RA, Loeffler M. Hair tourniquet syndrome in an infant. J Bone Joint Surg Br 2007; 89: 244-5. [CrossRef ]
O'Gorman A, Ratnapalan S. Hair tourniquet manage- ment. Pediatr Emerg Care 2011; 27: 203-4. [CrossRef ]
Bannier MA, Miedema CJ. Hair tourniquet syndrome. Eur J Pediatr 2013; 172: 277. [CrossRef ]
Pomeranz M, Schachter B, Capua T, Beyth Y. Hair-thre- ad tourniquet syndrome of labia minor. J Pediatr Adolesc Gynecol 2009; 22: e111-3. [CrossRef ]
Bangroo AK, Chauhan S. Hair tourniquet syndrome. J In- dian Assoc Pediatr Surg 2005; 10: 55-6. [CrossRef ]