Skin wrinkling an Händen und Füßen – Theorie und Praxis

Zusammenfassung

Das Phänomen der Faltenbildung (skin wrinkling) der Haut an Händen und Füßen bei Aufenthalt im Wasser ist jedem bekannt. Die Erklärung hierfür ist jedoch nicht ganz trivial. Das periphere Nervensystem scheint einen Einfluss zu haben. Denn bei Nervenverletzungen ist häufig zu beobachten, dass das skin wrinkling ausfällt. Es werden in diesem Artikel drei Fälle mit aufgehobener Faltenbildung an der Hand, nach stattgehabter Nervenverletzung, vorgestellt. Zusätzlich erfolgt ein Überblick über die aktuelle Literatur zu diesem Thema.

Abstract

The wrinkling of the skin on hands and feet when submersed in water is a well-known phenomenon. However, the explanation for this is not quite trivial. The peripheral nervous system seems to have an influence. In case of nerve injuries, it is often observed that skin wrinkling does not occur. In this report, three cases are presented in which wrinkling of the hand was absent after a nerve injury. In addition, we provide an overview of the studies on this topic.

Schlüsselwörter

Hautfältelung - periphere Nerven - Nervenverletzung

Key words

skin wrinkling - peripheral nerves - nerve injury

• Literatur

• 1 Fritsch P.. Dermatologie Venerologie: Grundlagen. Klinik. Atlas. 2. Ausgabe. Springer-Verlag; 2013.
• 2 Yin J, Gerling GJ, Chen X.. Mechanical modeling of a wrinkled fingertip immersed in water. Acta Biomater 2010; 6: 1487-1496
• 3 Cales L, Weber RA.. Effects of water temperature on skin wrinkling. J Hand Surg Am 1997; 22: 747-749
• 4 Eliot RB.. Skin wrinkling in cystic fibrosis. Lancet 1974; 2: 1383
• 5 Scheuplein RJ, Blank IH.. Permeability of the skin. Physiol Rev 1971; 51: 702-747
• 6 Taylor NA, Machado-Moreira CA.. Regional variations in transepidermal water loss, eccrine sweat gland density, sweat secretion rates and electrolyte composition in resting and exercising humans. Extrem Physiol Med 2013; 2: 4
• 7 Lewis T, Pickering GW.. Circulatory changes in fingers in some diseases of nervous system with special reference to digital atrophy of peripheral nerve lesions. Clin Sci 1935; 2: 149-175
• 8 O’Riain S.A. new and simple test of nerve function in hand. Br Med J 1973; 3: 615-616
• 9 Braham J, Sadeh M, Saravoa-Pinhas I.. Skin wrinkling on immersion of hands: a test of sympathetic function. Arch Neurol 1979; 36: 113-114
• 10 Vasudevan TM, van Rij AM, Nukada H. et al. Skin wrinkling for the assessment of sympathetic function in the limbs. Aust N Z J Surg 2000; 70: 57-59
• 11 Wilder-Smith EP.. Water immersion wrinkling – physiology and use as an indicator of sympathetic function. Clin Auton Res 2004; 14: 125-131
• 12 Wilder-Smith E, Chow A.. Water-immersion wrinkling is due to vasoconstriction. Muscle Nerve 2003; 27: 307-311
• 13 Wilder-Smith E, Chow A.. Water immersion and EMLA cause similar digit skin wrinkling and vasoconstriction. Microvasc Res 2003; 66: 68-72
• 14 Gorgas Karin BP, Tischendorf F, Curri S.. The fine structure of human digital arterio-venous anastomoses (Hoyer-Grosser’s organs). Anat Embryol 1977; 150: 269-289
• 15 Hsieh CH, Huang KF, LiLiang PC. et al. Paradoxical response to water immersion in replanted fingers. Clin Auton Res 2006; 16: 223-227
• 16 Teoh HL, Chow A, Wilder-Smith EP.. Skin wrinkling for diagnosing small fibre neuropathy: comparison with epidermal nerve density and sympathetic skin response. J Neurol Neurosurg Psychiatry 2008; 79: 835-837
• 17 Changizi M, Weber R, Kotecha R. et al. Are wet-induced wrinkled fingers primate rain treads. Brain Behav Evol 2011; 77: 286-290
• 18 Kareklas K, Nettle D, Smulders TV.. Water-induced finger wrinkles improve handling of wet objects. Biol Lett 2013; 9: 20120999
• 19 Haseleu J, Omerbašić D, Frenzel H. et al. Water-induced finger wrinkles do not affect touch acuity or dexterity in handling wet objects. PLoS One 2014; 9: e84949