Neck callouses K13.6

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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History
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Garrod, 1893

Definition
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Chewing caused callus-like thickening (reactive fibromatosis) over the back of the fingers.

Etiopathogenesis
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Tic-like chewing, sucking, sucking, pulling, rubbing the backs of the fingers. Signs of anxiety. Girls with bulimia have the calluses on the proximal base joints by pressing against the upper row of teeth during forced vomiting.

Manifestation
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Occurs in children, more often in girls than in boys.

Localization
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Mostly symmetrical on the back of the fingers, especially the 4th to 5th fingers.

Clinical features
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Slowly developing, symptom-free, spindle-shaped thickening of the fingers with an excess of connective tissue, especially between the finger joints. Rough skin, often folded in the longitudinal axis of the fingers.

Histology
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Acanthosis, papillomatosis, orthohyperkeratosis, diffuse connective tissue hyperplasia.

Differential diagnosis
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Therapy
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Clarification, correction of misbehaviour, psychotherapy, if necessary covering the calluses with hydrocolloid dressing (e.g. Varihesive extra thin).

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Knuckle pads, fake;

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Last updated on: 29.10.2020