TY - JOUR AU - Martonovich, N. AU - Alfandari, L. AU - Paz, I. AU - Behrbalk, E. PY - 2022/06/06 Y2 - 2024/03/29 TI - Hair thread tourniquet syndrome. Case reports and case series review. JF - European Journal of Pediatric Dermatology JA - Eur. J. Pediat. Dermatol. VL - 32 IS - 2 SE - DO - 10.26326/2281-9649.32.2.2351 UR - https://www.ejpd.com/index.php/journal/article/view/2351 SP - 83-90 AB - <p class="p1"><span class="s1"><strong><em>Introduction</em></strong></span>. Hair thread tourniquet syndrome is a phenomenon that occurs among infants. A human hair strangulates a body appendage and causes focal edema followed by ischemia. It is a relatively uncommon phenomenon and the literature consists mainly of case reports and case series.<span class="Apple-converted-space">&nbsp;<br></span><span class="s1"><strong><em>Materials and methods</em></strong></span>. Conducting plural searches in the literature published up to 2021. Using keywords that serve as synonyms of this condition: hair thread tourniquet, hair strangulation, external constriction on the toe. Articles regarding non-digits hair tourniquet syndrome were excluded.<br><span class="s1"><strong><em>Results</em></strong></span>. Among 146 relevant articles, 49 case reports and case series were extracted. A total of 78 individual cases were examined:<br>Patients’ gender: 35 males, 33 females, and 10 cases did not mention the gender<br>Patients’ age: the age range is 12 days to 6 years, the majority were between 3 to 5 months.<br>In 66 cases toes were involved, and in 9 cases fingers were involved.<br><span class="s1"><strong><em>Discussion</em></strong></span>. According to the data, there is a higher incidence rate of the phenomenon around 3 to 5 months. This might be explained by the maternal tendency to lose hair (post-partum telogen effluvium or post-partum alopecia). This reaches its peak around 4 months post-partum. No gender is at higher risk. Toes are significantly more involved than fingers and the most frequent toe involved was the third.<br>There is a lack of demographic data regarding this syndrome, further multi-central cohort studies are recommended.<br><span class="s1"><strong><em>Conclusions</em></strong></span>. Infants between 2-6 months are at greater risk. There is no up-to-date demographic data regarding this condition.</p> ER -