Pyoderma gangrenosum or necrotising fasciitis? Diagnostic and therapeutic wanderings

被引：6

作者：

Vaysse-Vic, M. ^{[1
]}

Mathieu, P. -A. ^{[1
]}

Charissoux, A. ^{[2
]}

Charissoux, J. -L. ^{[1
]}

Marcheix, P. -S. ^{[1
]}

机构：

[1] Hop Univ Limoges, Serv Orthopedie Traumatol, 2 Ave Martin Luther King, F-87000 Limoges, France

[2] Hop Univ Limoges, Serv Anatomopathol, 2 Ave Martin Luther King, F-87000 Limoges, France

来源：

ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH | 2017年 / 103卷 / 04期

关键词：

Pyoderma gangrenosum; Leg; Skin diseases; Diagnosis; MANAGEMENT; TRAUMA; KNEE;

D O I：

10.1016/j.otsr.2017.01.009

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A case of post-traumatic lower-limb pyoderma gangrenosum (PG) in a 77-year-old female is reported. The diagnosis of PG is frequently one of exclusion, and it is therefore unsurprising that the conditionwas initially mistaken for necrotising fasciitis then for necrotising bacterial dermo-hypodermitis. Medical and surgical treatment for those conditions proved ineffective. This fact, together with the atypicalpresentation, promoted a re-evaluation of the diagnosis. The clinical findings and investigation resultsconverged to suggest PG, and a therapeutic trial was initiated. The good treatment response and negativefindings from tests for other conditions established the diagnosis of post-traumatic PG. (C) 2017 Elsevier Masson SAS. All rights reserved.

引用

页码：615 / 617

页数：3

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