Chronic nonhealing ulcer in a finger of a toddler – a rare presentation of the hair thread tourniquet syndrome

Background  Hair‐thread tourniquet syndrome is caused by a strand of hair or thread tightly wrapped around an appendage. Affected parts include toes, phallus, fingers, clitoris, labia and even uvula. This disorder can be quite serious if not promptly recognized and treated; permanent tissue damage or even loss of the appendage can occur. Material  A rare and delayed presentation of hair‐thread tourniquet syndrome as a non‐healing, discharging ulcer in a two‐year‐old child is presented. Results  Identification of the fiber with loupes, complete removal of the fiber, and a dorsal longitudinal incision made to ensure complete release of any fibrotic constriction bands were the components of successful management in this child. Conclusions  Successful treatment depends on prompt recognition of the problem and alleviation of constriction, be it simple removal of the offending agent or surgical exploration and release. Medical professionals caring for children and parents should be made aware of the signs and symptoms of this rare but dangerous condition to ensure early diagnosis and prompt appropriate management.