EP500 TIBIAL ULCER MIMICKING PYODERMA GANGRENOSUM...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy.
Aim: Highlighting the diagnostic complexity of skin ulcers. Method: We present a 31-year-old female patient who came to the ulcer unit of "Andreas Syggros" Hospital suffering from a festering necrotic ulcer that appeared a year earlier. She provided a previous punch biopsy result which was compatibl...
| Publicado en: | Journal of Wound Management Vol. 24; no. 2; p. 319 |
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| Autores principales: | , , |
| Formato: | abstract case study proceedings Journal Article |
| Publicado: |
Cambridge Publishing
Jul2023
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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=164969196&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164969196 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27885771 MZEQ jtl: Journal of Wound Management issn: 27885771 maglogo: N pubinfo: dt: Jul2023 vid: 24 iid: 2 pid: 66266 pub: Cambridge Publishing artinfo: ui: 164969196 164969196 164969196 164969196 ppf: 319 ppct: 0 formats: fmt: @attributes: type: P tig: atl: EP500 TIBIAL ULCER MIMICKING PYODERMA GANGRENOSUM...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy. aug: au: Zacharopoulou, Aikaterini Sgontzou, Themis Zouridaki, Eftychia affil: Andreas Syggros" Hospital, Dermatology sug: subj: Lymphoma, Large-Cell, Anaplastic Diagnosis Diagnosis, Differential Pyoderma Gangrenosum Skin Ulcer Tibia Congresses and Conferences Italy Italy Adult Female Biopsy Adult: 19-44 years Female ab: Aim: Highlighting the diagnostic complexity of skin ulcers. Method: We present a 31-year-old female patient who came to the ulcer unit of "Andreas Syggros" Hospital suffering from a festering necrotic ulcer that appeared a year earlier. She provided a previous punch biopsy result which was compatible with pyoderma gangrenosum. In accordance with the diagnosis, she was already treated with steroids, colchicine, and multiple antibiotics due to positive cultures for E. coli and Pseudomonas aeruginosa. These treatments had little or no response. Due to the atypical clinical presentation of a persistent ulcer and the later appearance of systemic symptoms, we proceeded to do a surgical wedge biopsy and an immunohistochemistry examination. Results / Discussion: The new biopsy was compatible with a diagnosis of T-cell non-Hodgkin lymphoma (ALK+ large cell lymphoma). Conclusion: In some cases, a punch biopsy may lead to a misdiagnosis, so it is useful to perform a surgical wedge biopsy. Physicians should therefore be alert when a skin lesion persists, because it may indicate the presence of a serious underlying systemic disease. pubtype: Academic Journal doctype: abstract case study proceedings Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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