Publication:

Pilonidal sinus in palmar webspace of a male barber: a case report with review of literature

Pilonodal sinus in the palmar web-space of a barber is an acquired occupational disease. The mechanism involved in the pathogenesis is the insult caused to the subcutaneous tissue due to constant friction and penetration of hair. It can recur after doing surgical excision as exposure to hair remains even after treatment. Therefore, it needs to be managed systematically to prevent recurrence. We are presenting a report of 35 year male barber presented with a recurrent discharging sinus in palmar web space which on further evaluation turned out to be a pilonidal sinus. We managed the patient with wide surgical excision with primary closure and to prevent recurrence we used modified gloves, which were specially designed for the patient. There was no recurrence seen for 6 months and hence the patient got completely cured of the disease. We are also presenting brief review of literature related to aetio-pathogenesis, prevention and management of this condition.