Hair-Thread Tourniquet Syndrome

 Hair-thread tourniquet syndrome is a rare, preventable, but serious condition which may cause dysfunction or even complete organ loss due to a hair or thread becoming tied around organs in various parts of the body.  Two month-old male infant was brought to the emergency service with the complaint of fever, uneasiness, and swelling on 4th-5th toes of right foot.  Apparent swelling, rubescence and increase in heat were seen and a constrictive band was observed to surround proximal phalanges of both toes in the physical examination of the patient (Figure 1).  A hair was found on the constrictive band surrounding both toes. The hair was removed by means of forceps. Oral antibiotic was administered to the patient. The patient was treated successfully by not letting a necrosis develop on the toes. It should be remembered that hair-thread tourniquet syndrome may be observed in the infant patients applying to the hospital with the complaints of unexplained fever and uneasiness. Figure 1: Appearance of the toes right after the hair was removed. Arrows show the constrictive band.