Pyoderma Gangrenosum Triggered by Acute Ischemia of Lower Extremity: A Case Report.
Pyoderma gangrenosum is a very rare condition of unclear etiology with an estimated incidence of 3 to 10 cases per million people per year. We report a case of pyoderma gangrenosum triggered by acute ischemia of lower extremity without a prior history. Seventy-seven years old female patient was admi...
| Published in: | Duzce Medical Journal Vol. 21; no. 3; pp. 265 - 268 |
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| Main Authors: | , , , , |
| Format: | case study pictorial Journal Article |
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Duzce University Medical School
2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140960627&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140960627 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1307671X 9582 jtl: Duzce Medical Journal issn: 1307671X maglogo: N pubinfo: dt: 2019 vid: 21 iid: 3 pid: 55957 pub: Duzce University Medical School artinfo: ui: 140960627 140960627 140960627 10.18678/dtfd.645577 140960627 ppf: 265 ppct: 3 formats: tig: atl: Pyoderma Gangrenosum Triggered by Acute Ischemia of Lower Extremity: A Case Report. aug: au: KALENDER, Mehmet UĞUR, Oğuz GÖKMENGİL, Hayat KARACA, Okay Güven EREN KARANİS, Meryem İlkay affil: Kocaeli Derince Research and Training Hospital Cardiovascular Surgery Clinic, Kocaeli, Turkey sug: subj: Lower Extremity Pathology Ischemia Complications Pyoderma Gangrenosum Etiology Pyoderma Gangrenosum Diagnosis Aged Female Emergency Service Necrosis Angiography Femoral Artery Pathology Thrombectomy Anesthesia, Local Ischemia Surgery Biopsy Methods Steroids Therapeutic Use Pyoderma Gangrenosum Drug Therapy Postoperative Period Patient Discharge Prednisone Therapeutic Use Diagnosis, Differential Wound Healing Aged: 65+ years Female ab: Pyoderma gangrenosum is a very rare condition of unclear etiology with an estimated incidence of 3 to 10 cases per million people per year. We report a case of pyoderma gangrenosum triggered by acute ischemia of lower extremity without a prior history. Seventy-seven years old female patient was admitted to the emergency department with necrosis on the anterior side of her left limb. Digital subtraction arteriography revealed total occlusion of the left common femoral artery for which thrombectomy under local anesthesia was performed successfully. The necrotic area was debrided and biopsies were obtained. Pathological examination revealed pyoderma gangrenosum and steroid treatment was began. The patient was discharged on the 10th postoperative day with prednisone 48 mg per day for the following 30 days. During the management of ischemic peripheral artery disease patients with persistent skin findings, pyoderma gangrenosum should be in the list of differential diagnoses. Piyoderma gangrenozum, tahmini insidansı yılda milyon kişi başına 3 ila 10 vaka olan, etiyolojisi açıklanamamış çok nadir görülen bir durumdur. Alt ekstremitenin akut iskemisi ile tetiklenen, daha önce öyküsü olmayan bir pyoderma gangrenozum vakası bildiriyoruz. Yetmiş yedi yaşında kadın hasta acil servise sol alt ekstremite anteriyor yüzde nekrotik yara ile başvurdu. Digital subtraction arteriography ile total tıkalı olduğu saptanan sol ana femoral artere lokal anestezi altında başarılı bir şekilde thrombektomi uygulandı. Nekrotik alan debride edildi ve biyopsiler alındı. Patolojik incelemede pyoderma gangrenozum saptandı ve steroid tedavisi başlandı. Hasta postoperative 10. günde 30 gün boyunca günlük 48 mg prednisone tedavisi ile taburcu edildi. Sebat eden cilt lezyonlu iskemik perifer arter hastalığı olan hastaların tedavisi sırasında, piyoderma gangrenozum ayırıcı tanılar listesinde bulunmalıdır. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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