Toe tourniquet, thread tourniquet syndrome,[1] hair-thread tourniquet syndrome[1]
Hair tourniquet of the second toe
Symptoms
Pain and swelling of the affected part[1]
Complications
Tissue death, autoamputation[1]
Usual onset
2 to 6 months of age[1]
Risk factors
Autism, trichotillomania[1]
Prevention
Parent keeping long hair brushed and back, washing baby's clothes separately[1]
Treatment
Substance that breaks down hair, cutting through the hair[1]
Prognosis
Good with early treatment[2]
Frequency
Rare[1]
Hair tourniquet is a condition where hair or thread becomes tightly wrapped around most commonly a toe, and occasionally a finger, genitals, or other body parts.[1] This results in pain and swelling of the affected part.[1] Complications can include tissue death due to lack of blood flow.[1] It occurs most commonly among children around 4 months of age,[1] though cases have been described in older children and adults.[2]
Most cases occur accidentally.[1] Risk factors may include autism and trichotillomania.[1] The mechanism is believed to involve wet hair become wrapped around a body part and then tightening as it dries.[1] Diagnosis involves examination of the entire child.[1] Prevention is by keeping the parent's hair from contact with the baby such as by the parent keeping their hair brushed and back and washing the baby's clothing separately.[1]
Treatment is with a substance that breaks down hair or cutting through the hair.[1] The condition is rare.[1] Males and females are equally frequently affected.[1] The first medical description dates from 1832.[1] In some cultures thread is tied around the penis of children with bedwetting or for luck.[1]
^ abcdefghijklmnopqrstuvwGottlieb, M; Holladay, D; Spearman, D (May 2019). "Current Approach to the Evaluation and Management of Hair-Thread Tourniquets". Pediatric Emergency Care. 35 (5): 377–379. doi:10.1097/PEC.0000000000001827. PMID 31045982. S2CID 143423818.
^ ab"Hair Tourniquet Removal: Background, Indications, Contraindications". 13 March 2019. Retrieved 17 October 2019.
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