Halk Dansı Sonrası Sağ Orta Parmakta Bül Oluşumu: Doğru Tanıya Ulaşmada Anamnezinin Klinik Önemi

Abstract

Bu olgu sunumu, aile hekimliği polikliniğine başvuran ve sağ orta parmakta gelişen bülün detaylı anamnez ile halk oyununda yoğun parmak şıklatma davranışına bağlı olduğunun saptandığı nadir bir olguyu sunarak anamnezin tanı ve tedavi sürecindeki önemini vurgulamaktadır. 29 yaşında erkek hasta, 3 gündür mevcut olan sağ orta parmak flexor yüzde seröz, ağrısız ve enfekte görünümü olmayan 0,5 cm çapında bül nedeniyle aile hekimliği polikliniğine başvurdu. Bilinen hastalığı, düzenli ilaç kullanımı, yanık, kimyasal maruziyet veya travma öyküsü yoktu. Aile öyküsünde dermatolojik hastalıklar mevcuttu. Başlangıçta yapılan anamnezde anlamlı bir neden saptanmadı; ancak anamnez derinleştirildiğinde hastanın 3 gün önce katıldığı düğünde yaklaşık 3 saat boyunca yoğun şekilde parmak şıklattığı öğrenildi. Klinik değerlendirme sonucunda friksiyon bülü tanısı konuldu ve hasta konservatif olarak yönetildi. Hastaya bülü patlatmaması, sürtünmeden kaçınması, lezyonun temiz ve kuru tutulması önerildi. Bir hafta sonra çağrılan hastanın lezyonunun skarsız olarak tamamen iyileştiği görüldü. Bu olgu, birinci basamak sağlık hizmetlerinde detaylı anamnez almanın doğru tanıya ulaşma, gereksiz tetkik ve sevkleri azaltma ve hasta bakım kalitesini artırma açısından kritik önemini göstermektedir.

Keywords

• Anamnez
• bül
• dermatoloji
• aile hekimliği
• friksiyon bülü

Blister Formation on the Right Middle Finger After Folk Dancing: The Clinical Importance of Anamnesis in Reaching the Correct Diagnosis

Abstract

This case report highlights the importance of medical history in the diagnosis and treatment process by presenting a rare case in which a blister developed on the right middle finger of a patient who visited a family medicine clinic, and it was determined that the blister was caused by intense finger snapping during folk dancing. A 29-year-old male patient presented to the family medicine clinic with a 0.5 cm diameter blister on the flexor surface of his right middle finger, which had been present for 3 days and was serous, painless, and did not appear to be infected. He had no known medical conditions, regular medication use, history of burns, chemical exposure, or trauma. There was a family history of dermatological diseases. No significant cause was identified in the initial medical history; however, upon further investigation, it was learned that the patient had been intensely snapping his fingers for approximately three hours at a wedding he had attended three days earlier. Based on the clinical evaluation, a diagnosis of friction blister was made, and the patient was managed conservatively. The patient was advised not to pop the blister, to avoid friction, and to keep the lesion clean and dry. When the patient was called back one week later, the lesion was found to have completely healed without scarring. This case demonstrates the critical importance of taking a detailed medical history in primary care in terms of reaching the correct diagnosis, reducing unnecessary tests and referrals, and improving the quality of patient care.

Keywords

• Anamnesis
• blister
• dermatology
• family medicine
• friction blister

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