First detection of disease causing limb necrosis in Ho Chi Minh City
On the afternoon of August 29, Cho Ray Hospital announced that it had discovered for the first time a patient with Vohwinkel disease, which causes necrosis of all four limbs, in Ho Chi Minh City. This is an extremely rare genetic disease in the world, with only more than 30 people having been recorded to have this disease to date.
The patient is NHGB (male), born in 1995, residing in Thu Duc district, Ho Chi Minh city. The patient showed signs of infection at the age of 18 months, with signs of severe itching, widespread keratosis arranged in a honeycomb shape on the palms and soles of the feet. After that, the patient's hands and feet gradually tightened, self-amputated, fell off, and did not cause pain. However, the disease causes itching and ulceration that is very uncomfortable, if there is no specific medicine. Right from birth, the patient was brought to a medical facility for treatment by his family, but the cause of the disease was not found.
Nearly a month ago, the patient had an infection and was transferred to the City Dermatology Hospital by his family. On August 13, the patient had to be transferred to the Hematology Department of Cho Ray Hospital in a state of anemia due to long-term infection and thrombocytopenia; both hands and feet were completely necrotic. Here, the doctors of the Hematology Department, Cho Ray Hospital coordinated with lecturer, Dr. Hoang Van Minh, Dermatology Department, University of Medicine and Pharmacy, Ho Chi Minh City to consult and discover this extremely rare disease in the world.
According to Dr. Thanh Thanh, Deputy Head of the Hematology Department at Cho Ray Hospital, although the disease is rare in the world, because the disease syndrome has been identified, a specific Retinoid drug has been found to treat it. After one day of using this drug, the patient's itching and odor have decreased.
Doctor Thanh Thanh also said that this is a genetic disease, not contagious in the community. Currently, Cho Ray Hospital is still continuing to monitor and treat the patient.
Due to the necrosis of both hands and feet, the patient still does not have an identity card or health insurance card. The patient is also living with a relative who has had breast cancer for many years, so her situation is extremely difficult./.
According to HNMO - TH