DOI QR코드

DOI QR Code

An Intraosseous Epidermoid Cyst That Originated from the Nail Bed of Great Toe with Concurrent Joint Infection: A Case Report

  • Chung, Myung Ki (Department of Orthopedic Surgery, Seoul National University Bundang Hospital) ;
  • Park, Moon Seok (Department of Orthopedic Surgery, Seoul National University Bundang Hospital) ;
  • Kim, Yong Sung (Department of Orthopedic Surgery, Seoul National University Bundang Hospital) ;
  • Lee, Taeseung (Departments of Surgery, Seoul National University Bundang Hospital) ;
  • Lee, Kyoung Min (Department of Orthopedic Surgery, Seoul National University Bundang Hospital) ;
  • Cho, Byung Chae (Department of Orthopedic Surgery, Seoul National University Bundang Hospital)
  • Received : 2016.01.03
  • Accepted : 2016.02.04
  • Published : 2016.03.15

Abstract

We report on a rare case of an intraosseous epidermoid cyst in the distal phalanx of the great toe with concurrent infection in a 71-year-old woman with diabetes mellitus. The lesion was initially considered simple infectious arthritis and concomitant osteomyelitis in a patient with diabetes. However, after surgery, an intraosseous epidermoid cyst originating from the nail bed and involving the articular surface of the distal phalanx was detected. The epidermoid cyst may have contributed to the infectious arthritis in the interphalangeal joint. The lesion was treated via mass excision, arthrotomy, debridement, and intravenous antibiotics.

Keywords

References

  1. Patel K, Bhuiya T, Chen S, Kenan S, Kahn L. Epidermal inclusion cyst of phalanx: a case report and review of the literature. Skeletal Radiol. 2006;35:861-3. https://doi.org/10.1007/s00256-005-0058-0
  2. Schajowicz F, Aiello CL, Slullitel I. Cystic and pseudocystic lesions of the terminal phalanx with special reference to epidermoid cysts. Clin Orthop Relat Res. 1970;68:84-92.
  3. Vion-Dury J, Vincentelli F, Jiddane M, Van Bunnen Y, Rumeau C, Grisoli F, et al. MR imaging of epidermoid cysts. Neuroradiology. 1987;29:333-8. https://doi.org/10.1007/BF00348910
  4. Zadek I, Cohen HG. Epidermoid cyst of the terminal phalanx of a finger; with a review of the literature. Am J Surg. 1953;85:771-4. https://doi.org/10.1016/0002-9610(53)90566-2
  5. Berlin SJ. A laboratory review of 67,000 foot tumors and lesions. J Am Podiatry Assoc. 1984;74:341-7. https://doi.org/10.7547/87507315-74-7-341
  6. Mercuri M, Casadei R. Tumours in the foot. Foot Ankle Surg. 2002;8:175-90. https://doi.org/10.1046/j.1460-9584.2002.00322.x
  7. Harris RI. Sebaceous cyst of terminal phalanx of thumb. J Bone Joint Surg Am. 1930;12:647-8.
  8. Connolly JE, Ratcliffe NR. Intraosseous epidermoid inclusion cyst presenting as a paronychia of the hallux. J Am Podiatr Med Assoc. 2010;100:133-7. https://doi.org/10.7547/1000133

Cited by

  1. Intraosseous epidermal cyst of the great toe that was difficult to distinguish from chronic osteomyelitis: A case report and literature review vol.9, pp.4, 2016, https://doi.org/10.1002/ccr3.3814