Case Study on Management of Postsurgical Pyoderma Gangrenosum After Spinal Surgery.

BACKGROUND: Postsurgical pyoderma gangrenosum (PSPG) is a rare autoimmune, neutrophilic dermatosis that results with the occurrence of pyoderma gangrenosum (PG) within surgical incisions. Presenting symptoms include erythema and pain at the surgical incision with wound dehiscence. The clinical appea...

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Publicado en:Journal of Wound, Ostomy & Continence Nursing Vol. 46; no. 6; pp. 543 - 547
Autor principal: Ratliff, Catherine R.
Formato: case study pictorial Journal Article
Publicado: Lippincott Williams & Wilkins Nov/Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov/Dec2019
      vid: 46
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Case Study on Management of Postsurgical Pyoderma Gangrenosum After Spinal Surgery.
      aug:
        au: Ratliff, Catherine R.
        affil: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia Health System, Charlottesville
      sug:
        subj:
          Thoracic Vertebrae Surgery
          Postoperative Complications
          Pyoderma Gangrenosum Physiopathology
          Pyoderma Gangrenosum Diagnosis
          Pyoderma Gangrenosum Therapy
          Female
          Aged
          Surgical Wound Dehiscence Pathology
          Negative Pressure Wound Therapy
          Prednisone Therapeutic Use
          Petrolatum Therapeutic Use
          Inflammatory Bowel Diseases
          Aged: 65+ years
          Female
      ab: BACKGROUND: Postsurgical pyoderma gangrenosum (PSPG) is a rare autoimmune, neutrophilic dermatosis that results with the occurrence of pyoderma gangrenosum (PG) within surgical incisions. Presenting symptoms include erythema and pain at the surgical incision with wound dehiscence. The clinical appearance of the PSPG wound (similar to PG) shows raised with dusky red or violaceous (violet-colored) wound edges and undermining with little or no evidence of granulation tissue. "Pathergy" is the term used to describe worsening of the wound in response to trauma such as debridement. Postsurgical pyoderma gangrenosum should be suspected in postoperative wounds, which continue to become progressively worse despite broadspectrum antibiotics, good wound care, and surgical debridement. CASE: A clinical case study of a patient with PSPG from spine surgery is described. CONCLUSION: Postsurgical pyoderma gangrenosum should be suspected in postoperative wounds, which continue to become progressively worse despite broad-spectrum antibiotics, good wound care, and surgical debridement.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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