RESUMEN
Burns and thermal injuries from other causes often affect exposed body regions such as the hands. Besides aesthetic aspects, deep dermal burns of the skin are often critical from a functional point of view, especially for important subcutaneous structures. This article reports the course of two patients who received enzymatic debridement with bromelain-based salve as a treatment for deep grade burns of the hands.
Asunto(s)
Bromelaínas/administración & dosificación , Quemaduras/tratamiento farmacológico , Quemaduras/cirugía , Desbridamiento/métodos , Fármacos Dermatológicos/administración & dosificación , Traumatismos de la Mano/tratamiento farmacológico , Quemaduras/complicaciones , Traumatismos de la Mano/cirugía , Humanos , Pomadas/administración & dosificación , Piel/efectos de los fármacos , Trasplante de Piel , Cicatrización de Heridas/efectos de los fármacosRESUMEN
Osteoid osteomas are benign bone tumors which rarely occur in the hand and impose severe diagnostic problems. The course of the disease is often protracted before the patient receives an adequate surgical treatment. The case of an osteoid osteoma in the scaphoid bone of a 15-year-old patient is presented, who was completely symptom free after a true diagnostic odyssey by resection of the nidus and reconstruction by crest bone graft and spongiosaplasty.
Asunto(s)
Neoplasias Óseas , Osteoma Osteoide , Hueso Escafoides , Adolescente , Neoplasias Óseas/complicaciones , Neoplasias Óseas/diagnóstico , Humanos , Osteoma Osteoide/complicaciones , Osteoma Osteoide/diagnóstico , Dolor/etiologíaRESUMEN
One representative case of burns caused by the negligent use of bioethanol, which was treated at our burns centre is used to illustrate the severity and depth of the burn injuries as well as the complexity of the further long-term course of treatment including complex secondary-reconstructive techniques.
Asunto(s)
Quemaduras/etiología , Quemaduras/cirugía , Etanol , Procedimientos de Cirugía Plástica/métodos , Piel/lesiones , Colgajos Quirúrgicos , Accidentes Domésticos , Adulto , Quemaduras/diagnóstico , Terapia Combinada/métodos , Procedimientos Quirúrgicos Dermatologicos/métodos , Femenino , Humanos , Mala Praxis , Prevención Secundaria/métodos , Piel Artificial , Resultado del TratamientoRESUMEN
The common European adder is an endangered animal species in Europe. Despite its endangerment, snake bite injuries do occur from time to time, even in Germany. This is a poisoning emergency. Detailed numbers concerning the incidence or lethality of adder bites in Germany do not exist. Only 13% of all cases have a severe course of disease, with children and elderly people prevailing in this patient group. We report the benign course of an adder bite injury of the index finger of a 60-year-old zoologist, which healed completely under symptomatic treatment and surveillance without any operative intervention.
Asunto(s)
Dedos , Mordeduras de Serpientes/terapia , Animales , Europa (Continente) , Alemania , Humanos , Persona de Mediana Edad , ViperidaeRESUMEN
After a motorcycle accident a 16-year-old patient suffered severe burns to 40.5 % of the total body surface area (TBSA) of which 37 % were deep subdermal burns. After tangential and partly epifascial necrosectomy, Integra® was used as a temporary dermis replacement material for the lower extremities, combined with extensive negative pressure wound therapy (NPWT). In the further course of the treatment the patient developed uncontrollable hyperpyrexia with a fatal outcome. Possible influencing factors, such as the dermis replacement material combined with NPWT over large areas as well as the differential diagnoses propofol infusion syndrome, heatstroke and malignant hyperthermia are discussed.
Asunto(s)
Accidentes de Tránsito , Quemaduras/terapia , Fiebre/prevención & control , Traumatismo Múltiple/terapia , Síndrome de Infusión de Propofol/diagnóstico , Adolescente , Quemaduras/complicaciones , Terapia Combinada/métodos , Desbridamiento/métodos , Resultado Fatal , Fiebre/etiología , Humanos , Masculino , Traumatismo Múltiple/complicaciones , Terapia de Presión Negativa para Heridas/métodos , Síndrome de Infusión de Propofol/prevención & control , Piel ArtificialRESUMEN
Allergic reactions occurring after tattooing, especially after the use of red tattoo ink ingredients are relatively rare. We report a painful skin reaction occurring 6 months after the tattoing of the right lower extremity in a 30-year-old female patient. Pathohistological and immunchemical results confirmed a pseudolymphoma. Only the tangential excision of the affected areas led to a sufficient healing process. Split thickness skin grafts were used for defect coverage. 2 years later, the patient was still pain free and the wounds had healed completely without any irritation.