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Ulceration of pyoderma gangrenosum treated with negative pressure wound therapy.

Pyoderma gangrenosum is a skin disease characterized by wounds with blue-to-purple undermined borders surrounding purulent necrotic bases. This article reports on a patient with a circumferential, full-thickness, and partially necrotic lower-extremity ulceration of unknown etiology. Results of labor...

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Published in:Journal of the American Podiatric Medical Association (American Podiatric Medical Association, Inc.) Vol. 95; no. 2; pp. 171 - 175
Main Authors: Geller SM, Longton JA, Geller, Stephen M, Longton, James A
Format: case study pictorial Journal Article
Published: American Podiatric Medical Association, Inc. 2005 Mar-Apr
Online Access:View this record in EBSCOhost
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      dt: 2005 Mar-Apr
      vid: 95
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      pub: American Podiatric Medical Association, Inc.
      place: Bethesda, Maryland
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        atl: Ulceration of pyoderma gangrenosum treated with negative pressure wound therapy.
      aug:
        au:
          Geller SM
          Longton JA
          Geller, Stephen M
          Longton, James A
        affil: Podiatry Program, Phoenix Baptist Hospital, Phoenix, AZ 85021, USA
      sug:
        subj:
          Pressure Therapeutic Use
          Pyoderma Gangrenosum Therapy
          Wound Care
          Aged, 80 and Over
          Female
          Pyoderma Gangrenosum Diagnosis
          Pyoderma Gangrenosum Physiopathology
          Aged, 80 & over
          Female
      ab: Pyoderma gangrenosum is a skin disease characterized by wounds with blue-to-purple undermined borders surrounding purulent necrotic bases. This article reports on a patient with a circumferential, full-thickness, and partially necrotic lower-extremity ulceration of unknown etiology. Results of laboratory tests and arterial and venous imaging studies were found to be within normal limits. The diagnosis of pyoderma gangrenosum was made on the basis of the histologic appearance of the wound tissue after biopsy as a diagnosis of exclusion. Negative pressure wound therapy was undertaken, which saved the patient's leg from amputation. Although negative pressure wound therapy has demonstrated efficacy in the treatment of chronic wounds in a variety of circumstances, this is the first documented use of this technique to treat an ulceration secondary to pyoderma gangrenosum.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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