Enfermedad de Kirner. Presentación de caso

Abstract

Introducción: la deformidad de Kirner, descrita por J. Kirner en 1927, es un arqueamiento simétrico, palmar, y radial, indoloro y progresivo de las falanges de los quintos dedos de las manos. No se ha reportado una edad precisa en su comienzo. El paciente más joven registrado referido en la literatura es de 5 años de edad y nunca se observó en el recién nacido. Objetivo: presentar la enfermedad de Kirner en un niño de 4 años que desde el nacimiento presentaba la deformidad, y no tenía antecedentes familiares de esta. Presentación del caso: se describe un paciente de 4 años que desde su nacimiento comenzó a presentar cierta deformidad en el 5to dedo de ambas manos, que se agudizó con el pasar de los años. Ahora presenta deformidad por arqueamiento palmar y radial del 5to dedo en ambas manos. No presenta antecedentes familiares. Se diagnostica como Enfermedad de Kirner. Conclusiones: se comprobó el diagnóstico de la enfermedad de Kirner en un niño de 4 años que la venía padeciendo desde su nacimiento y sin antecedentes familiares.Palabras clave: deformidad de Kirner, deformidad del meñique, arqueamiento de la falange terminal.ABSTRACTIntroduction: Kirner’s deformity, was described by J. Kirner, is a palmar, radial, painless and progressive arching of the 5th fingers of hands. There are not precise ages of its onset. The youngest patient reported on the literature is 5 years old and the disease has not been observed in newborn ever. Objective: to show a Kirner´s disease in a male child 4 years old presenting this deformity since birth without parent background. Case presentation: it is described a 4 years old patient that since birthday began to present some deformity in its 5th in both hands becoming acute meanwhile years were passing. He has a deformity by palmar and radial arching of his 5th finger in both hands. He does not show parents background. Kirner´s disease was diagnosed. Conclusions: the Kirner´s disease diagnoses was proved in a child 4 years old which suffering the disease since birthday without parent´s background.Key words: Kirner’s deformity, deformity of the little fingers, curving of the terminal phalanges. 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