Abstract：
OBJECTIVE: Pilonidal sinus of the hand is an occupational hazard for barbers, cow milkers, sheep shearers and dog groomers. Here, we report on a dog groomer who had four pilonidal sinuses.
METHODS: A 49-year-old woman working as a dog groomer complained of multiple non-erythematous and fluctuant nodules on both hands, associated with pain, which had been identified five years previously. On the skin of her right hand, three nodules were observed on the volar (diameter: 1.5 cm) and medial (diameter: 1.4 cm) sides of fifth metacarpophalangeal joint and the volar aspect of the distal phalanx of the small finger (diameter: 0.7 cm). On the left hand, a 2-cm diameter nodule was identified on the volar side of the fifth metacarpophalangeal joint region. The nodules were excised surgically. A 5-mm long hair was removed from one nodule. Histopathology confirmed pilonidal sinus, treated by excision. One month postoperatively, the wound had healed uneventfully.
CONCLUSIONS: When nodules are found in dog groomers, clinicians should consider the possibility of pilonidal sinus disease.
METHODS: A 49-year-old woman working as a dog groomer complained of multiple non-erythematous and fluctuant nodules on both hands, associated with pain, which had been identified five years previously. On the skin of her right hand, three nodules were observed on the volar (diameter: 1.5 cm) and medial (diameter: 1.4 cm) sides of fifth metacarpophalangeal joint and the volar aspect of the distal phalanx of the small finger (diameter: 0.7 cm). On the left hand, a 2-cm diameter nodule was identified on the volar side of the fifth metacarpophalangeal joint region. The nodules were excised surgically. A 5-mm long hair was removed from one nodule. Histopathology confirmed pilonidal sinus, treated by excision. One month postoperatively, the wound had healed uneventfully.
CONCLUSIONS: When nodules are found in dog groomers, clinicians should consider the possibility of pilonidal sinus disease.
摘要：
目的：手藏鼻窦是理发师的职业危害，奶牛挤奶工,牧羊人和狗美容师。这里,我们报道了一个狗美容师，他有四个鼻窦。
方法：一名49岁的养狗妇女抱怨双手上有多个非红斑和波动结节，与疼痛有关，这是五年前确定的。在她右手的皮肤上，在第五掌指关节的掌侧（直径：1.5cm）和内侧（直径：1.4cm）以及小指远端指骨的掌侧（直径：0.7cm）观察到三个结节。在左手上,在第五掌指关节区的掌侧发现了一个直径为2厘米的结节。通过手术切除结节。从一个结节中去除5毫米长的头发。组织病理学证实藏毛窦,切除治疗。术后一个月,伤口愈合顺利。
结论：当在狗美容师中发现结节时，临床医生应考虑毛发窦疾病的可能性。
方法：一名49岁的养狗妇女抱怨双手上有多个非红斑和波动结节，与疼痛有关，这是五年前确定的。在她右手的皮肤上，在第五掌指关节的掌侧（直径：1.5cm）和内侧（直径：1.4cm）以及小指远端指骨的掌侧（直径：0.7cm）观察到三个结节。在左手上,在第五掌指关节区的掌侧发现了一个直径为2厘米的结节。通过手术切除结节。从一个结节中去除5毫米长的头发。组织病理学证实藏毛窦,切除治疗。术后一个月,伤口愈合顺利。
结论：当在狗美容师中发现结节时，临床医生应考虑毛发窦疾病的可能性。
