Case Report of Two Patients With COVID-19 and Sacral Pressure Injuries Associated with Pyoderma Gangrenosum.
During the COVID-19 pandemic, an increasing number of patients have been admitted to the ICU with severe respiratory complications requiring prolonged supine positioning. Recently,many case reports have been published regarding dermatologic manifestations associated with COVID-19. However, there is...
| Published in: | Advances in Skin & Wound Care Vol. 34; no. 8; pp. 438 - 444 |
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| Main Authors: | , , , , , , |
| Format: | case study pictorial Journal Article |
| Published: |
Lippincott Williams & Wilkins
Aug2021
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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=152087592&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152087592 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15277941 38T jtl: Advances in Skin & Wound Care issn: 15277941 maglogo: N pubinfo: dt: Aug2021 vid: 34 iid: 8 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 152087592 152087592 152087592 10.1097/01.ASW.0000744356.54317.c2 152087592 ppf: 438 ppct: 6 formats: tig: atl: Case Report of Two Patients With COVID-19 and Sacral Pressure Injuries Associated with Pyoderma Gangrenosum. aug: au: Elkhatib, Rania Giunta, Gabriele Hanssens, Valerie Kapila, Ayush De Baerdemaeker, Randy Zeltzer, Assaf Hamdi, Moustapha affil: Attending Physician, Department of Plastic and Reconstructive Surgery, University Hospital Brussels, Belgium sug: subj: COVID-19 Sacrum Pathology Pressure Ulcer Surgery Pyoderma Gangrenosum Surgery Male Middle Age Aged Critically Ill Patients Surgical Debridement Biopsy Negative Pressure Wound Therapy Treatment Outcomes Intensive Care Units Tomography, X-Ray Computed Middle Aged: 45-64 years Aged: 65+ years Male ab: During the COVID-19 pandemic, an increasing number of patients have been admitted to the ICU with severe respiratory complications requiring prolonged supine positioning. Recently,many case reports have been published regarding dermatologic manifestations associated with COVID-19. However, there is little information about the clinical features of these manifestations. Pyoderma gangrenosum (PG) is an ulcerative noninfectious inflammatory disease of the skin. In at least 50% of the cases, the etiology is unknown. Nevertheless, PG is associated with many systemic diseases. In this article, the authors report two critically ill patients with COVID-19 who developed sacral ulcers during their recovery in the ICU. These ulcers had an atypical course and were exacerbated by surgical debridements. Accordingly, providers suspected PG, which was confirmed by the clinical evolution of the ulcers and biopsies taken from the wounds. To the best of the authors' knowledge, no previous articles have reported sacral pressure injuries associated with PG in patients with COVID-19. Providers should suspect PG in patients with COVID-19 who develop nonhealing pressure injuries. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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