Pyoderma gangraenosum as rare complication of incisional hernia repair in a patient with Werlhof's disease.
On the 3rd day following surgery to repair an incisional hernia, a 67-year-old male patient with Werlhof's disease (idiopathic thrombocytopenic purpura) was diagnosed with a histologically confirmed pyoderma gangraenosum (PG), a rare complication of wound healing. Dexamethasone pulse therapy resulte...
| Publicado en: | Hernia Vol. 15; no. 6; pp. 709 - 713 |
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| Autores principales: | , , , , , , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Springer Nature
Dec2011
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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=104628270&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104628270 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 12654906 NQ8 jtl: Hernia issn: 12654906 maglogo: N pubinfo: dt: Dec2011 vid: 15 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104628270 NLM20665224 2011428319 10.1007/s10029-010-0712-x NLM20665224 104628270 ppf: 709 ppct: 4 formats: tig: atl: Pyoderma gangraenosum as rare complication of incisional hernia repair in a patient with Werlhof's disease. aug: au: Strauss A Storim J Germer CT Dietz UA Wildenauer R Strauss, A Storim, J Germer, C-T Dietz, U A Wildenauer, R affil: Department of General Surgery, University of Wuerzburg Hospital, Oberduerrbacher Strasse 6, 97080 Wuerzbrug, Germany sug: subj: Surgery, Reconstructive Adverse Effects Purpura, Thrombocytopenic Complications Pyoderma Gangrenosum Etiology Aged Antiinflammatory Agents Therapeutic Use Dexamethasone Therapeutic Use Hernia, Abdominal Surgery Male Pyoderma Gangrenosum Drug Therapy Aged: 65+ years Male ab: On the 3rd day following surgery to repair an incisional hernia, a 67-year-old male patient with Werlhof's disease (idiopathic thrombocytopenic purpura) was diagnosed with a histologically confirmed pyoderma gangraenosum (PG), a rare complication of wound healing. Dexamethasone pulse therapy resulted in rapid remission of the skin lesions. Further improvement was slowed when the patient suffered multiple organ failure in the intensive care unit, delaying his transfer to rehabilitation for 8 weeks. Postoperative PG is always a differential diagnostic possibility in patients with sterile, progressive, painful, ulcerative skin lesions at or near the surgical wound. Unlike most wound healing complications, which are treated by debridement or antibiotics, the treatment of choice for PG is high-dose steroid therapy. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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