Arterial Leg Ulcers
Stage I Asymptomatic Stage II Claudicatio intermittens Walking distance: IIA >200 m, with no disablement IIB < 200 m with disablement Stage III Resting pain Stage IV Peripheral necrosis/gangrene 35.3…
Dermatology
Toxic Syndromes
1. Fever ≥38.9 °C 2. Rash-diffuse macular erythroderma 3. Desquamation–1–2 weeks after onset of illness, especially of palms and soles 4. Hypotension–systolic blood pressure ≤90 mmHg for adults 5. Multi-system…
Fournier Gangrene
Fig. 32.1 Pathophysiology of Fournier gangrene Originally, Meleney reported in his 1924 series of Chinese men with necrotizing infections that streptococcal species were the responsible genus for this virulence [5]….
Hand Necrosis
Autoimmune diseases Infection Scleroderma and CREST syndrome Hepatitis B and C Lupus and antiphospholipid syndrome HIV Sjögren-Gougerot syndrome Endocarditis Sharp syndrome Mycoplasma Rheumatoid arthritis, Still’s disease Rickettsiosis Dermatomyositis and polymyositis…
Hidradenitis Suppurativa
Fig. 19.1 Hurley stage II characterized by recurrent nodules and abscesses, formation of sinus tracts, and scarring Fig. 19.2 Hurley stage III characterized by diffuse involvement of the area with…
Imaging of Hypodermal Fat Necrosis
Fig. 4.1 Fat necrosis on mammography (lateral view) shows a “rim-like” or “egg-shell” type of calcification (arrow) within the fatty tissue of the breast 4.2.2 Ultrasound Also called sonography, this…
Livedo(id) Vasculitis
Fig. 26.1 Livedo Fig. 26.2 Ulceration and livedoid aspect Fig. 26.3 Chronic ulcerations Fig. 26.4 Healing with white atrophic surrounding plaques and telangiectases References 1. Khenifer S, Thomas L, Balme…
Cryoglobulinemia
Ischemic necrosis (40 % in type I, 0–20 % in mixed types) Palpable purpura (15 % in type I, 80 % in mixed types) Livedoid vasculitis (1 % in type…
Skin Necrosis and Ulcers Induced by Medications
Amezinium methylsulfate [25] Anagrelide [36] Barbituric acid [32] Coumarin [13, 31] Diltiazem [4] Erythropoietin [16] Estrogen combinations [40] Furosemide [39] Heparin [18, 27] Hydralazine [24] Hydroxyurea [2, 14, 41] Leflunomide…
Skin Necrosis Over Osteosynthetic Material
(1) Departememt of Surgery, Montpellier Regional University Hospital, Montpellier, France 33.1 Introduction 33.2 Postoperative Skin Necrosis 33.2.1 Debridement 33.2.2 NPWTi 33.2.3 Hardware Removal 33.2.4 Soft-Tissue Reconstruction 33.2.5 Alternatives to…
