A Case Report of the Rare Disease of Pseudoainhum at Kerman Afzalipour Hospital, Iran

Abstract: Background & Aims: Pseudoainhum is a rare acquired or congenital disorder characterized by progressive development of a fibrotic band on a finger or toe until spontaneous autoamputation occurs. The various etiological hypotheses given for this disease include infectious (mycosis, mycobacteria), traumatic (plants), vascular (andysplasia), neurological (polyneuritis), and genetic (keratodermia) mechanisms. Ainhum predominantly affects black people living in west Africa, south America, and India. Case presentation: A 12 year old girl from Chahrigan Harirabad, a village near Kahnooj, Iran, with low socioeconomic status whose parents were not related, presented with autoamputated right foot toes. According to her mother she was in her usual state of good health until 1 year of age, when she developed a deep painless wound in the base of the fifth toe of the right foot. The depth of the wound progressed over time until it autoamputed. The same process happened to the 2nd, 3rd, and 4th toes of the same foot. On physical examination the pulse of the posterior tibialis artery was too weak and there was no detectable pulse of the dorsalis pedis artery. All examinations of toes of the left foot were normal. There was also a kyphoscoliosis toward the left side. The laboratory tests were normal; however, triphasic Doppler sonography showed a decreased velocity of blood flow in the distal part of the anterior tibialis artery. Conclusion: Due to the rarity of the disease and genetics being the most important contributing factor, we suggest a genetic study of this patient and her family members, regular follow up, and physical examination of the patient. We also suggest that with promotion of the level of hygiene and adequate education we can prevent further damage in this patient, as trauma and subsequent infection are the likely predisposing factors. Keywords: Pseudoainhum, Autoamputation, Dorsalis pedis artery, Anterior tibialis artery » XM

Sharing your assets? A holistic review of the sharing economy

Even though academics and practitioners extensively apply the notion of the sharing economy (SE), the conceptualization and the literature construction remained disjointed and dispersed due to the lack of a rigorous attempt to understand the core concept of the SE. This concept is multidimensional, which makes its investigation essential for practitioners and academics. Based on a 15-year data set collected from the Web of Science database, our paper seeks to provide a pervasive science plot of the intellectual structure of the SE field. A bibliometric review method was used by studying documents published from 2005 to 2020, using the VOSviewer, Bibexcel, SPSS, and GunnMap2 software. Providing an overview of articles, authors, the most influential journals, and themes of research, we contribute to the literature on the SE by identifying and proposing six research groups in MDS analysis, six research clusters in HCA analysis, and future study directions. Eventually, the research acknowledges the theoretical contribution, the limits of the present study, and recommends further study directions