{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T04:01:17Z","timestamp":1745812877730,"version":"3.40.4"},"reference-count":15,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,1,16]]},"abstract":"<jats:p>Pseudoainhum is a rare and poorly characterised phenomenon involving autoamputation of a digit associated with an identifiable or related disease process. We describe the case of a 19-year-old man with long-standing neurodisability, sensorineural hearing loss and severe keratoderma, presenting with painless rapidly-progressing autoamputation of his left little toe. Genetic analysis thus far has been inconclusive. The toe appeared to be hanging on by a thread, with no clinical signs of infection. Radiographs showed lysis with complete resorption of the proximal phalynx. Routine blood tests found an isolated neutropenia with normal C reactive protein and biochemistry. We report an unusual case of a young adult with a history of chronic neurological and dermatological problems presenting with secondary pseudoainhum and provide a valuable addition to the limited literature describing this rare condition.<\/jats:p>","DOI":"10.1136\/bcr-2015-213854","type":"journal-article","created":{"date-parts":[[2016,2,2]],"date-time":"2016-02-02T13:07:37Z","timestamp":1454418457000},"page":"bcr2015213854","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Hanging on by a thread: a rare case of secondary pseudoainhum"],"prefix":"10.1136","volume":"2016","author":[{"given":"Leo","family":"Arkush","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernadette","family":"De Silva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Gordon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,2,2]]},"reference":[{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1964.01600010018005"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2007.02224.x"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.3","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1302\/0301-620X.47B1.43","article-title":"Ainhum: an account of fifty-four patients with special reference to etiology and treatment","volume":"47","author":"Cole","year":"1965","journal-title":"J Bone Joint Surg Br"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.4","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1302\/0301-620X.47B1.52","article-title":"True ainhum: its distinctive and differentiating features","volume":"47","author":"Browne","year":"1965","journal-title":"J Bone Joint Surg Br"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.5","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2230.2002.01127.x"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2230.2002.01031.x"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.7","doi-asserted-by":"publisher","DOI":"10.1002\/humu.22155"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.8","doi-asserted-by":"crossref","first-page":"2043","DOI":"10.1002\/ajmg.a.33490","article-title":"Palmoplantar keratoderma, pseudo-ainhum, and universal atrichia: a new patient and review of the palmoplantar keratoderma-congenital alopecia syndrome","volume":"152","author":"Castori","year":"2010","journal-title":"Am J Med Genet A"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2009.04267.x"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2009.09137.x"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1993.tb15153.x"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2003.05756.x"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.13","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5154.87166"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.14","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(82)80020-0"},{"key":"2025042702385399000_2016.feb02_2.bcr2015213854.15","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(02)80083-7"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-213854","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:39:05Z","timestamp":1745746745000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-213854"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,2]]},"references-count":15,"alternative-id":["10.1136\/bcr-2015-213854"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-213854","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,2,2]]}}}