Atrophic papulosis: The wedge‐shaped skin necrosis is an active lesion

Disseminated intravascular coagulation in meningococcal sepsis

Hämostaseologie ◽

10.1055/s-0037-1619581 ◽

2003 ◽

Vol 23 (03) ◽

pp. 125-130 ◽

Cited By ~ 2

Author(s):

S. Zeerleder ◽

R. Zürcher Zenklusen ◽

C. E. Hack ◽

W. A. Wuillemin

Keyword(s):

Organ Dysfunction ◽

Disseminated Intravascular Coagulation ◽

Skin Necrosis ◽

Multiple Organ ◽

Meningococcal Sepsis ◽

Multiple Organ Dysfunction ◽

Intravascular Coagulation ◽

Therapeutic Concepts ◽

New Therapeutic Concepts ◽

Coagulation And Fibrinolysis

SummaryWe report on a man (age: 49 years), who died from severe meningococcal sepsis with disseminated intravascular coagulation (DIC), multiple organ dysfunction syndrome and extended skin necrosis. We discuss in detail the pathophysiology of the activation of coagulation and fibrinolysis during sepsis. The article discusses new therapeutic concepts in the treatment of disseminated intravascular coagulation in meningococcal sepsis, too.

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Repeated Occurrence of Skin Necrosis Twice Following Coumarin Intake and Subsequently During Decrease of Vitamin K Dependent Coagulation Factors Associated with Cholestasis

Thrombosis and Haemostasis ◽

10.1055/s-0038-1657270 ◽

1982 ◽

Vol 48 (03) ◽

pp. 245-246 ◽

Cited By ~ 24

Author(s):

V Hofmann ◽

P G Frick

Keyword(s):

Skin Necrosis ◽

Oral Anticoagulants ◽

Subcutaneous Fat ◽

Coagulation Factors ◽

Fat Necrosis ◽

Subcutaneous Fat Necrosis ◽

Skin Changes ◽

Factors Associated ◽

Therapeutic Anticoagulation ◽

Coumarin Necrosis

SummaryA female patient is described who developed skin and subcutaneous fat necrosis on two occasions after intake of acenocoumarol.Several months later identical skin changes occurred during an episode of cholestasis associated with a prolongation of the prothrombin time to an extent comparable with therapeutic anticoagulation; intake of oral anticoagulants could be excluded.This association gives new insights in the pathogenetic mechanisms responsible for the so-called coumarin necrosis and indicates that it may be not due to drug toxicity or allergy.

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Skin necrosis following extravasatin of water soluble contrast media-report of 2 cases

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1987.23.4.658 ◽

1987 ◽

Vol 23 (4) ◽

pp. 658

Author(s):

J H Park ◽

S H Kim ◽

M J Shin ◽

J C Kim ◽

K W Minn ◽

...

Keyword(s):

Contrast Media ◽

Skin Necrosis ◽

Water Soluble ◽

Media Report ◽

Water Soluble Contrast

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Consecutive Observation and Treatment of Skin Necrosis due to Extravasation of Mitomycin C.

Nishi Nihon Hifuka ◽

10.2336/nishinihonhifu.61.294 ◽

1999 ◽

Vol 61 (3) ◽

pp. 294-297

Author(s):

Tokuya OSAWA ◽

Masahiko ISHIHARA ◽

Toshiyuki AKI ◽

Reiko URASHIMA ◽

Motoyuki MIHARA

Keyword(s):

Mitomycin C ◽

Skin Necrosis

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Rivaroxaban-induced skin necrosis: a case report

European Journal of Medical Case Reports ◽

10.24911/ejmcr/173-1555632293 ◽

2019 ◽

pp. 112-115

Author(s):

Mosaad Soliman ◽

Khaled Mowafy ◽

Nashaat Elsaadany ◽

Rana Soliman ◽

Sameh Awad ◽

...

Keyword(s):

Case Report ◽

Skin Necrosis

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The impact of SPY angiography on intraoperative decision making and outcomes for post-mastectomy reconstruction

Journal of Cancer Science and Therapeutics ◽

10.36879/jcst.19.000109 ◽

2019 ◽

pp. 1-5

Keyword(s):

Decision Making ◽

Logistic Regression ◽

Skin Necrosis ◽

Regression Models ◽

Multivariable Analysis ◽

P Value ◽

Flap Necrosis ◽

Single Institution ◽

Logistic Regression Models ◽

The Impact

Objective: While the use of intraoperative laser angiography (SPY) is increasing in mastectomy patients, its impact in the operating room to change the type of reconstruction performed has not been well described. The purpose of this study is to investigate whether SPY angiography influences post-mastectomy reconstruction decisions and outcomes. Methods and materials: A retrospective analysis of mastectomy patients with reconstruction at a single institution was performed from 2015-2017.All patients underwent intraoperative SPY after mastectomy but prior to reconstruction. SPY results were defined as ‘good’, ‘questionable’, ‘bad’, or ‘had skin excised’. Complications within 60 days of surgery were compared between those whose SPY results did not change the type of reconstruction done versus those who did. Preoperative and intraoperative variables were entered into multivariable logistic regression models if significant at the univariate level. A p-value <0.05 was considered significant. Results: 267 mastectomies were identified, 42 underwent a change in the type of planned reconstruction due to intraoperative SPY results. Of the 42 breasts that underwent a change in reconstruction, 6 had a ‘good’ SPY result, 10 ‘questionable’, 25 ‘bad’, and 2 ‘had areas excised’ (p<0.01). After multivariable analysis, predictors of skin necrosis included patients with ‘questionable’ SPY results (p<0.01, OR: 8.1, 95%CI: 2.06 – 32.2) and smokers (p<0.01, OR:5.7, 95%CI: 1.5 – 21.2). Predictors of any complication included a change in reconstruction (p<0.05, OR:4.5, 95%CI: 1.4-14.9) and ‘questionable’ SPY result (p<0.01, OR: 4.4, 95%CI: 1.6-14.9). Conclusion: SPY angiography results strongly influence intraoperative surgical decisions regarding the type of reconstruction performed. Patients most at risk for flap necrosis and complication post-mastectomy are those with questionable SPY results.

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Acute Kidney Injury, Hyperbilirubinemia, and Ischemic Skin Necrosis Due to Massive Sulindac Overdose

Current Drug Safety ◽

10.2174/157488631002150515150729 ◽

2015 ◽

Vol 10 (2) ◽

pp. 190-192 ◽

Cited By ~ 3

Author(s):

John Vaughn ◽

Kejal Shah ◽

Maroun Ghossein ◽

William Meyer ◽

Robert Kirkpatrick

Keyword(s):

Acute Kidney Injury ◽

Skin Necrosis ◽

Kidney Injury

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Abdominal Flap Necrosis and Wound Dehiscence following a Medical Tourist Tummy Tuck

Case Reports in Surgery ◽

10.1155/2020/8819102 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

Vladislav Pavlovich Zhitny ◽

Noama Iftekhar ◽

Peter Caravella ◽

Jake Patrick Young ◽

Barry Zide ◽

...

Keyword(s):

Skin Necrosis ◽

Wound Dehiscence ◽

The United States ◽

Abdominal Wound ◽

Flap Necrosis ◽

Aesthetic Result ◽

Self Image ◽

To Receive ◽

Medical Tourist ◽

Incision Drainage

Abdominoplasty is a major surgical procedure met with high rates of patient satisfaction and improved self-image. While many patients are lured abroad due to discounted prices for such highly requested procedures, unfortunately, there are also associated complications. A 47-year-old woman presented due to abdominal scar dehiscence due to skin necrosis secondary to a discounted abdominoplasty in Mexico. The patient had been turned away by several local surgical centers for treatment of the necrosis. The patient underwent incision, drainage, and two debridements before her abdominal wound was eventually closed. Patient recovered well postoperatively with improved aesthetic result. With the rise of social media advertisements, more patients elect to receive plastic surgery abroad. Unfortunately, many of these practices are not accurately vetted and this can complicate the postoperative care especially upon return to the United States.

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