Cure of Fingertip Necrosis after Median Nerve Block Application in Two Cases of Definite and Probable Systemic Sclerosis.

Autor:	Kinoshita M; Department of Anesthesiology, Chiba Central Medical Center, Japan., Inokuma S; Department of Allergy and Rheumatism, Chiba Central Medical Center, Japan., Yamauchi M; Department of Allergy and Rheumatism, Chiba Central Medical Center, Japan., Kamizeki Y; Department of Anesthesiology, Chiba Central Medical Center, Japan., Kuwana K; Department of Anesthesiology, Chiba Central Medical Center, Japan., Watanabe K; Department of Anesthesiology, Chiba Central Medical Center, Japan.
Jazyk:	angličtina
Zdroj:	Internal medicine (Tokyo, Japan) [Intern Med] 2024 Aug 15; Vol. 63 (16), pp. 2331-2335. Date of Electronic Publication: 2024 Jan 13.
DOI:	10.2169/internalmedicine.2728-23
Abstrakt:	One patient with systemic sclerosis with index fingertip necrosis and another with probable systemic sclerosis with index and middle fingertip impending necrosis were successfully treated with ultrasound-guided median nerve block application on the affected side. The nailfold temperatures of the affected fingers measured using thermography were below 25°C. Immediately after application, the temperature increased substantially. After repeated applications, the mean basal temperature on the affected side increased by 3.6°C in Case 1 and by 5.9°C in Case 2. Peripheral nerve block can be a basic treatment for fingertip necrosis. The thermographical observation of the extent and region in which the temperature increased is novel.
Databáze:	MEDLINE
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