Nonhealing Leg Ulcer as the Presentation of Sarcoidosis: A Case Report.
Chronic leg ulcers (CLUs) are common, with increasing prevalence in the elderly population. Circulatory dysfunctions are responsible for 90% to 95% of all causes, while 5% to 10% of CLUs are associated with underlying chronic systemic disorders. Sarcoidosis is a complex multisystemic disease charact...
| Publicado en: | International Journal of Lower Extremity Wounds Vol. 22; no. 4; pp. 742 - 748 |
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| Autores principales: | , , , , |
| Formato: | case study diagnostic images pictorial Journal Article |
| Publicado: |
Sage Publications Inc.
Dec2023
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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=173467910&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173467910 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15347346 IYG jtl: International Journal of Lower Extremity Wounds issn: 15347346 maglogo: Y pubinfo: dt: Dec2023 vid: 22 iid: 4 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 173467910 151865835 173467910 173467910 10.1177/15347346211037850 173467910 ppf: 742 ppct: 6 formats: tig: atl: Nonhealing Leg Ulcer as the Presentation of Sarcoidosis: A Case Report. aug: au: Shatnawi, Nawaf J. Al-Zoubi, Nabil A. Al-Bakkar, Lujain A. Gharaibeh, Laith M. Hamouri, Shadi affil: 37251 Jordan University of Science and Technology, Irbid, Jordan sug: subj: Sarcoidosis Symptoms Sarcoidosis Diagnosis Female Adult Leg Ulcer Epidemiology Biopsy Granuloma Diagnosis Pyoderma Diagnosis Lymph Nodes Surgery Wound Healing Wound Care Negative Pressure Wound Therapy Skin Transplantation Methods Leg Ulcer Therapy Adult: 19-44 years Female ab: Chronic leg ulcers (CLUs) are common, with increasing prevalence in the elderly population. Circulatory dysfunctions are responsible for 90% to 95% of all causes, while 5% to 10% of CLUs are associated with underlying chronic systemic disorders. Sarcoidosis is a complex multisystemic disease characterized by noncaseating granulomas affecting mainly the pulmonary system, with cutaneous manifestation in 25% to 30% of cases. However, ulcerative sarcoidosis (US) is a rare form of cutaneous sarcoidosis. Pyoderma gangrenosum (PG) is an uncommon, chronic inflammatory noninfectious skin disease affecting different body parts. The ulcerative form of PG is rarely reported in association with sarcoidosis. We aim to report a 44-year-old female patient with a history of hypertension and varicose veins, presenting with a CLU for more than 18 months. Ulcer tissue biopsy showed noncaseating granuloma with abscess formation suggestive of sarcoidosis; however, PG could not be ruled out. Mediastinal lymph node biopsy was consistent with sarcoidosis. The leg ulcer had complete healing within 4 months by local wound management, negative pressure wound therapy, and split-thickness skin grafting without immunosuppressive treatment to achieve wound healing. pubtype: Academic Journal doctype: case study diagnostic images pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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