[Mycetoma of the hand. Apropos of 10 cases].
Mycetomas of the hand are a rare site of an uncommon disease, particularly in temperate climates. They are non-purulent inflammatory pseudotumours of mycotic origin. They are generally seen in Tropical Africa with a slow course progressing towards a phase of cutaneous fistula formation producing black, white or red grains depending on the fungus responsible. Ten cases are reported together with a review of the literature. Treatment must often be radical to prevent recurrence in the actinomycotic forms and this raises difficult problems of mutilating surgery of the hand for a benign and painless disease. However, ketoconazole has revolutionised the treatment of fungal varieties by allowing partial resections compatible with preservation of hand function.
Bourrel
P
P
Andreu
J M
JM
Cazenave
J C
JC
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006229:Hand Dermatoses / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D006801:Humans; D007654:Ketoconazole / Q000627:therapeutic use; D008297:Male; D008271:Mycetoma / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D011300:Preoperative Care
D007654:Ketoconazole
Les mycétomes de la main. A propos de dix observations.