Traumatic Pyoderma Gangrenosum of the Face: Pathergy Development after Bike Accident
We present a patient who developed pyoderma gangrenosum (PG) twice, initially after a minor trauma and later after reconstructive surgery. This case is presented to address the frequent misdiagnosis and mistreatment of PG by surgeons. It is of great importance that PG is diagnosed and of even great...
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| Veröffentlicht in: | Dermatology (Basel) 2009-01, Vol.218 (3), p.272-274 |
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| creator | Lindberg-Larsen, Rune Fogh, Karsten |
| description | We present a patient who developed pyoderma gangrenosum (PG) twice, initially after a minor trauma and later after reconstructive surgery. This case is presented to address the frequent misdiagnosis and mistreatment of PG by surgeons. It is of great importance that PG is diagnosed and of even great importance that surgery is avoided in order to prevent pathergy. Our case adds to the understanding that the diagnosis is based on the clinical and histopathological findings and by excluding other causes of skin ulcers. When a wound is not healing despite relevant local wound management and systemic treatment if needed, the clinician should always suspect PG. Early diagnosis and treatment is crucial in the management of PG and surgery is contraindicated. |
| doi_str_mv | 10.1159/000182266 |
| format | Article |
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This case is presented to address the frequent misdiagnosis and mistreatment of PG by surgeons. It is of great importance that PG is diagnosed and of even great importance that surgery is avoided in order to prevent pathergy. Our case adds to the understanding that the diagnosis is based on the clinical and histopathological findings and by excluding other causes of skin ulcers. When a wound is not healing despite relevant local wound management and systemic treatment if needed, the clinician should always suspect PG. Early diagnosis and treatment is crucial in the management of PG and surgery is contraindicated.</description><identifier>ISSN: 1018-8665</identifier><identifier>EISSN: 1421-9832</identifier><identifier>DOI: 10.1159/000182266</identifier><identifier>PMID: 19060470</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Aged, 80 and over ; Bicycling - injuries ; Biological and medical sciences ; Case Report ; Dermatology ; Facial Dermatoses - diagnosis ; Facial Dermatoses - etiology ; Facial Dermatoses - surgery ; Facial Injuries - complications ; Humans ; Injuries ; Male ; Medical diagnosis ; Medical sciences ; Pyoderma Gangrenosum - diagnosis ; Pyoderma Gangrenosum - etiology ; Pyoderma Gangrenosum - surgery ; Skin diseases ; Skin involvement in other diseases. Miscellaneous. General aspects ; Wound Healing</subject><ispartof>Dermatology (Basel), 2009-01, Vol.218 (3), p.272-274</ispartof><rights>2008 S. 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This case is presented to address the frequent misdiagnosis and mistreatment of PG by surgeons. It is of great importance that PG is diagnosed and of even great importance that surgery is avoided in order to prevent pathergy. Our case adds to the understanding that the diagnosis is based on the clinical and histopathological findings and by excluding other causes of skin ulcers. When a wound is not healing despite relevant local wound management and systemic treatment if needed, the clinician should always suspect PG. Early diagnosis and treatment is crucial in the management of PG and surgery is contraindicated.</description><subject>Aged, 80 and over</subject><subject>Bicycling - injuries</subject><subject>Biological and medical sciences</subject><subject>Case Report</subject><subject>Dermatology</subject><subject>Facial Dermatoses - diagnosis</subject><subject>Facial Dermatoses - etiology</subject><subject>Facial Dermatoses - surgery</subject><subject>Facial Injuries - complications</subject><subject>Humans</subject><subject>Injuries</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical sciences</subject><subject>Pyoderma Gangrenosum - diagnosis</subject><subject>Pyoderma Gangrenosum - etiology</subject><subject>Pyoderma Gangrenosum - surgery</subject><subject>Skin diseases</subject><subject>Skin involvement in other diseases. Miscellaneous. 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Miscellaneous. General aspects</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lindberg-Larsen, Rune</creatorcontrib><creatorcontrib>Fogh, Karsten</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatology (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lindberg-Larsen, Rune</au><au>Fogh, Karsten</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Traumatic Pyoderma Gangrenosum of the Face: Pathergy Development after Bike Accident</atitle><jtitle>Dermatology (Basel)</jtitle><addtitle>Dermatology</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>218</volume><issue>3</issue><spage>272</spage><epage>274</epage><pages>272-274</pages><issn>1018-8665</issn><eissn>1421-9832</eissn><abstract>We present a patient who developed pyoderma gangrenosum (PG) twice, initially after a minor trauma and later after reconstructive surgery. This case is presented to address the frequent misdiagnosis and mistreatment of PG by surgeons. It is of great importance that PG is diagnosed and of even great importance that surgery is avoided in order to prevent pathergy. Our case adds to the understanding that the diagnosis is based on the clinical and histopathological findings and by excluding other causes of skin ulcers. When a wound is not healing despite relevant local wound management and systemic treatment if needed, the clinician should always suspect PG. Early diagnosis and treatment is crucial in the management of PG and surgery is contraindicated.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>19060470</pmid><doi>10.1159/000182266</doi><tpages>3</tpages></addata></record> |
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| subjects | Aged, 80 and over Bicycling - injuries Biological and medical sciences Case Report Dermatology Facial Dermatoses - diagnosis Facial Dermatoses - etiology Facial Dermatoses - surgery Facial Injuries - complications Humans Injuries Male Medical diagnosis Medical sciences Pyoderma Gangrenosum - diagnosis Pyoderma Gangrenosum - etiology Pyoderma Gangrenosum - surgery Skin diseases Skin involvement in other diseases. Miscellaneous. General aspects Wound Healing |
| title | Traumatic Pyoderma Gangrenosum of the Face: Pathergy Development after Bike Accident |
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