Pyoderma Gangrenosum Mimicking a Diabetic Foot Infection: A Case Report.
Abstract: An adult with ulcerative colitis and diabetes presented with a painful, swollen, edematous left foot. Diagnostic images and laboratory tests were inconclusive. Antibiotics were started immediately but aggravated his symptoms, and the laboratory results worsened. His foot was debrided twice...
| Publicado en: | Journal of Foot & Ankle Surgery Vol. 52; no. 1; pp. 67 - 72 |
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| Autores principales: | , , , |
| Formato: | case study diagnostic images pictorial Journal Article |
| Publicado: |
W B Saunders
Jan2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104404522&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104404522 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10672516 2S4 jtl: Journal of Foot & Ankle Surgery issn: 10672516 maglogo: N pubinfo: dt: Jan2013 vid: 52 iid: 1 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 104404522 84555117 10.1053/j.jfas.2012.09.002 NLM23073270 104404522 ppf: 67 ppct: 5 formats: tig: atl: Pyoderma Gangrenosum Mimicking a Diabetic Foot Infection: A Case Report. aug: au: Lee, Ho Seong Choi, Young Rak Ha, Sung Hoon Jeong, Jae Jung affil: Department of Orthopedic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea sug: subj: Diabetic Foot Diagnosis Pyoderma Gangrenosum Diagnosis Diagnosis, Differential Middle Age Male Diagnostic Errors Treatment Failure Colitis, Ulcerative Physiopathology Magnetic Resonance Imaging Pyoderma Gangrenosum Pathology Pyoderma Gangrenosum Radiography Pyoderma Gangrenosum Drug Therapy Pyoderma Gangrenosum Therapy Wound Care Treatment Outcomes Middle Aged: 45-64 years Male ab: Abstract: An adult with ulcerative colitis and diabetes presented with a painful, swollen, edematous left foot. Diagnostic images and laboratory tests were inconclusive. Antibiotics were started immediately but aggravated his symptoms, and the laboratory results worsened. His foot was debrided twice per protocol for treating diabetic foot ulcers or cellulitis. After debridement, his condition worsened rapidly. Pyoderma gangrenosum was correctly diagnosed on the basis of massive neutrophilic infiltration detected in the biopsy tissue and because the lesion was well-defined and colored deep red to violet, unlike the bullosis diabeticorum blisters observed in the diabetic foot. His foot improved with systemic corticosteroids and topical wound care, and a skin defect was treated with a skin graft. After 9 months, his foot was well healed. Pyoderma gangrenosum can be diagnosed by careful examination and must be distinguished from an ulcerated diabetic foot lesion. pubtype: Academic Journal doctype: case study diagnostic images pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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