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Ahoeng disease

  Ahoeng disease is also known as ring finger disease, toe (finger) amputation or spontaneous toe (finger) detachment, a local disease in tropical areas. It is a disease caused by chronic inflammation and fibrosis surrounding the toe (finger) to form a linear constriction, ultimately leading to toe (finger) amputation. The name Ahoeng comes from Dongzhuang ancient language, meaning to saw. In 1821, Messue first mentioned this disease, which is a skin abnormality with bone resorption of unknown cause, a local disease in tropical and subtropical areas, mainly characterized by the appearance of a constriction band around the toe (finger). Finally, spontaneous amputation occurs. Ahoeng disease begins with fissures on the flexural side of the distal interphalangeal joint of the finger (toe), with the dermis forming a circular fiber, appearing transverse grooves and gradually deepening, eventually forming a circular concave groove, resembling being tied with a thin rope. The distal part of the toe (finger) swells, can be painful, eroded, and malodorous. The circular groove becomes deeper. Generally, the toe (finger) is naturally amputated within 5 to 10 years. Due to the obstruction of blood and nerve nutrition, the local bone tissue progressively resorbs with the deepening of the soft tissue groove, and the residual end becomes sharp and pointed, and the histological examination shows loose bone.

 

Table of Contents

1. What are the causes of Ahoeng disease
2. What complications can Ahoeng disease easily lead to
3. What are the typical symptoms of Ahoeng disease
4. How to prevent Ahoeng disease
5. What kind of laboratory tests need to be done for Ahoeng disease
6. Dietary taboos for Ahoeng disease patients
7. Conventional methods of Western medicine for the treatment of Ahoeng disease

1. What are the causes of Ahoeng disease

  The etiology of Ahoeng disease is unknown and may be related to congenital abnormalities in genetic quality, chronic injury, and long-term barefoot walking in tropical areas, or due to congenital excessive hyperkeratosis of the skin, secondary inflammation and fibrosis due to fissures.

 

 

2. What complications can Ahoeng disease easily lead to

  Ahoeng disease is a genetic disease, with excessive hyperkeratosis and shedding of the skin, and the integrity of the skin is destroyed, so it can cause skin bacterial infection or fungal infection due to scratching by the patient. It usually occurs in people with low body resistance, or those who have used immunosuppressants for a long time, or have onychomycosis and other fungal infections. If there is concurrent bacterial infection, there may be symptoms such as fever, skin swelling, ulceration, and purulent secretion. Severe cases can lead to sepsis, so it should attract the attention of clinical doctors.

3. What are the typical symptoms of Ahoeng disease

  Clinical symptoms of Ahoeng disease:
  1. Skin damage begins with fissures and transverse grooves on the proximal屈侧 or lateral side of the first toe joint, but finally naturally breaks off and falls off.
  2. It is prevalent in the toes, especially the little toe, and fingers can also be affected.
  3. Clinical manifestations include toe (finger) annular constriction bands, similar to toe amputation.

 

4. How to prevent Ahoeng disease

  The prevention of Ahoeng disease focuses on preventing traumatic infections. In daily life, the following measures can be taken for prevention:

  1. Develop good living habits, quit smoking and limit alcohol intake. Smoking, as predicted by the World Health Organization, if people stop smoking, the world's cancer will decrease by 1/3 after 5 years; secondly, do not drink excessively. Cigarettes and alcohol are highly acidic substances, and people who smoke and drink for a long time are prone to acidosis.

  2. Do not eat too much salty and spicy food, overheated, cold, expired, and deteriorated food; for the elderly, the weak, or those with a genetic predisposition to certain diseases, eat some cancer-preventive foods and alkaline foods with high alkaline content appropriately, and maintain a good mental state.

  3. Maintain a good mental state to cope with stress, combine work and rest, and do not overwork. It can be seen that stress is an important trigger for cancer. Traditional Chinese medicine believes that stress leads to overwork and physical weakness, thereby causing a decrease in immune function, endocrine disorders, internal metabolism disorders, and the deposition of acidic substances in the body; stress can also lead to mental tension, causing Qi stagnation and blood stasis, internal fire, and other problems.

  4. Strengthen physical exercise, enhance physical fitness, exercise more in the sun, and sweat can help excrete acidic substances in the body through sweat, avoiding the formation of an acidic body.

  5. Live a regular life, and irregular lifestyle habits such as staying up all night to sing karaoke, play Mahjong, not returning home at night, and irregular lifestyles will worsen the acidification of the body, making it easy to develop cancer. Good habits should be cultivated to maintain an alkaline体质, keeping various cancers away from oneself.

 

 

5. What laboratory tests are needed for Ahong disease

  The clinical skin examination of Ahong disease can be seen as follows: the skin damage begins at the proximal flexor or medial side of the first toe joint, with fissures or transverse grooves appearing, which may become inflamed or chronic ulcers, gradually expanding into annular narrowing, the distal toe becoming spherical, connected to the proximal only by a thin line. After 5 to 10 years of development, it will eventually naturally break off and fall off.

6. Dietary taboos for Ahong disease patients

  Ahong disease should pay attention to dietary health care:
  Eat more foods rich in calcium, iron, vitamin C, and carotene. These foods are important nutritional sources for maintaining the growth of human mucous membranes and epithelial tissues, and are very beneficial for resisting excessive keratinization of the skin.

7. Conventional Western Treatment Methods for Ahong Disease

  In the early stage of Ahong disease, when a contraction ring is formed, surgery can be performed in time to relieve it or locally try corticosteroids such as betamethasone for intramuscular injection. For late-stage or severe cases with no hope of recovery, corrective surgery or amputation can be performed. For patients with skin bacterial infections, antibiotic anti-infection treatment should be given, and penicillin or cephalosporin antibiotics can be chosen; for those allergic to penicillin, erythromycin can be chosen.

 

 

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