Pyoderma gangrenosum developing after chest tube placement in a patient with chronic lymphocytic leukemia.
Cutis
; 104(5): E23-E26, 2019 Nov.
Article
em En
| MEDLINE
| ID: mdl-31886797
ABSTRACT
Diagnosis of a neutrophilic dermatosis, such as pyoderma gangrenosum (PG), often is challenging at onset because it can be impossible to distinguish clinically and histopathologically from an acute infection in an immunosuppressed patient, necessitating a detailed patient history as well as correlation pathology with microbial tissue cultures. The dermatologist's ability to distinguish a neutrophilic dermatosis from active infection is of paramount importance, as the decision to treat with surgical debridement, in addition to an antibiotic regimen, can have grave consequences in the misdiagnosed patient. We present a case of PG occurring at a chest tube site in a patient with chronic lymphocytic leukemia (CLL) and highlight the challenges and therapeutic importance of arriving at the correct diagnosis.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Leucemia Linfocítica Crônica de Células B
/
Tubos Torácicos
/
Pioderma Gangrenoso
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
Limite:
Aged80
/
Humans
/
Male
Idioma:
En
Revista:
Cutis
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Estados Unidos