This uncommon condition affecting the fifth toe of adults in tropical Africa is also called spontaneous dactylolysis. A painful constricting band of fibrotic tissue results in spontaneous amputation of the toe. A number of contributing factors have been identified, including familial occurrence, decreased blood supply locally, mechanical trauma from walking on bare feet, and chronic diseases with neuropathy, such as leprosy and diabetes mellitus. General hygiene measures, avoidance of infection, and surgical amputation, if required in advanced cases, are the therapeutic interventions of choice (Browne, 1976).
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