Dupuytrens Contracture Cause
Ultimately, there is no accepted or
established Dupuytrens contracture cause. That obviously does
not mean that there is no cause, it just means the source or
start of this deforming hand problem has not yet been
determined.
There are several possible causes of Dupuytrens contracture that
are being studied:
• Just based on the results of
statistical analysis, there is a strong probability that
Dupuytren contracture is of genetic in origin. Several studies,
mostly in Europe and the U.S., suggest there is an autosomal
dominant pattern of inheritance with variable penetrance.
• HLA-B7 and HLA-DR3 markers have
been identified in a number of patients, suggesting a possible
immunologic influence as well.
• Dupuytren contracture has long
been known to be associated with excessive growth and excessive
production of collagen from the fibroblast cells in the palmar
tissue. Recent investigation points to the idea that this
cellular activity could be due to irregularity of the
chromosomal changes of the mitochondria similar to those seen in
cancer cells. An abnormality of the trisomy 8 marker has been
identified in the fibroblasts excised from the palmar lesion in
some patients, indicating certain features of a benign neoplasm.
• Many cellular changes and
activities observed in the palmar fascia of Dupuytrens
contracture are similar to those cellular changes of normal
wound repair and remodeling, but to an excessive and harmful
degree. This observation supports the theory that Dupuytrens
contracture could be caused at least in part by trauma. This
theory is further advanced by the fact that the fatty tissue
layer that normally protects the tendons of the palm of the hand
gradually disappears with age in those races most commonly
affected by Dupuytrens contracture. With less protective layers
of these fat pads, the tendons become exposed to the normal
stress and repeated trauma of life. After exposure to
unprotected compression, friction, and other forces, the body’s
response might be to initiate a protective but excessive
reparative response in the injured palmar fascia.
Without a clear idea to explain the
cause of Dupuytrens contracture, DCI concludes that the victim
of this disease needs to support the normal healing and repair
capacity of the body in as many ways available. Without a known
cure, a good strategy is to provide the nutrients necessary to
allow for the best immune response to attack and injury. After
study and observation of this problem, it became clear that
those therapies that have been shown to have sufficient success
in Peyronie’s disease research studies are also potentially
effective in treating Dupuytrens contracture. Therefore, the
conservative therapies that are used in DCI’s aggressive program
of treatment for Dupuytrens contracture are almost identical to
those used in Peyronie’s disease. Click here to learn more about
Dupuytrens Alternative Treatment.
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Medicine treatment plan, click
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