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The Journal of Hand Surgery
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    • Bhashyam, Abhiram R1
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    • Anomalous muscle1
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    • Case Repository

      Hedgehog-Transmitted Trichophyton erinaceid Causing Painful Bullous Tinea Manuum

      Journal of Hand Surgery
      Vol. 46Issue 5p430.e1–430.e3Published online: August 1, 2020
      • Amanda L. Walsh
      • Nelson Merchan
      • Carl M. Harper
      Cited in Scopus: 2
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        Trichophyton is a species of fungus that commonly infects hedgehogs. As the popularity of keeping hedgehogs as pets increases, there have been reports of Trichophyton species infection in humans. Diagnosis and appropriate treatment of Trichophyton infection can be delayed owing to physicians’ low index of suspicion and unfamiliarity with the physical manifestations. We describe a case of a 27-year-old healthy man who developed tinea manuum after handling a pet hedgehog. Presenting symptoms included a worsening bullous eruption and severe pain.
        Hedgehog-Transmitted Trichophyton erinaceid Causing Painful Bullous Tinea Manuum
      • Case repository

        Reversed Palmaris Longus Muscle Causing Volar Forearm Pain and Ulnar Nerve Paresthesia

        Journal of Hand Surgery
        Vol. 42Issue 4p298.e1–298.e5Published online: December 12, 2016
        • Abhiram R. Bhashyam
        • Carl M. Harper
        • Matthew L. Iorio
        Cited in Scopus: 8
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          A case of volar forearm pain associated with ulnar nerve paresthesia caused by a reversed palmaris longus muscle is described. The patient, an otherwise healthy 46-year-old male laborer, presented after a previous unsuccessful forearm fasciotomy for complaints of exercise exacerbated pain affecting the volar forearm associated with paresthesia in the ulnar nerve distribution. A second decompressive fasciotomy was performed revealing an anomalous “reversed” palmaris longus, with the muscle belly located distally.
          Reversed Palmaris Longus Muscle Causing Volar Forearm Pain and Ulnar Nerve Paresthesia
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