Abstract
Necrotizing fasciitis is a fulminant advancing soft tissue infection characterized by widespread fascial necrosis, which can result in significant morbidity and even death. This condition requires prompt diagnosis and aggressive management with extensive surgical debridement and appropriate antibiotic coverage. Pyoderma gangrenosum, in contrast, is a noninfectious inflammatory condition of the skin that typically does not require surgical management. Both conditions can present with extensive ulceration and tissue necrosis, and close clinical-pathologic correlation is required to make the appropriate diagnosis. We present a case in which the diagnosis of pyoderma gangrenosum was initially elusive and serves to illuminate the diagnostic pitfalls in dealing with these entities.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 273-276 |
| Number of pages | 4 |
| Journal | American Journal of Otolaryngology - Head and Neck Medicine and Surgery |
| Volume | 30 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jul 1 2009 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Otorhinolaryngology
Cite this
Pyoderma gangrenosum masquerading as necrotizing fasciitis. / Barr, Keira L.; Chehal, Hardeep K.; Wesson, Stanton K.; Bhattacharyya, Indraneel; Vincek, Vladimir.
In: American Journal of Otolaryngology - Head and Neck Medicine and Surgery, Vol. 30, No. 4, 01.07.2009, p. 273-276.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pyoderma gangrenosum masquerading as necrotizing fasciitis
AU - Barr, Keira L.
AU - Chehal, Hardeep K.
AU - Wesson, Stanton K.
AU - Bhattacharyya, Indraneel
AU - Vincek, Vladimir
PY - 2009/7/1
Y1 - 2009/7/1
N2 - Necrotizing fasciitis is a fulminant advancing soft tissue infection characterized by widespread fascial necrosis, which can result in significant morbidity and even death. This condition requires prompt diagnosis and aggressive management with extensive surgical debridement and appropriate antibiotic coverage. Pyoderma gangrenosum, in contrast, is a noninfectious inflammatory condition of the skin that typically does not require surgical management. Both conditions can present with extensive ulceration and tissue necrosis, and close clinical-pathologic correlation is required to make the appropriate diagnosis. We present a case in which the diagnosis of pyoderma gangrenosum was initially elusive and serves to illuminate the diagnostic pitfalls in dealing with these entities.
AB - Necrotizing fasciitis is a fulminant advancing soft tissue infection characterized by widespread fascial necrosis, which can result in significant morbidity and even death. This condition requires prompt diagnosis and aggressive management with extensive surgical debridement and appropriate antibiotic coverage. Pyoderma gangrenosum, in contrast, is a noninfectious inflammatory condition of the skin that typically does not require surgical management. Both conditions can present with extensive ulceration and tissue necrosis, and close clinical-pathologic correlation is required to make the appropriate diagnosis. We present a case in which the diagnosis of pyoderma gangrenosum was initially elusive and serves to illuminate the diagnostic pitfalls in dealing with these entities.
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UR - http://www.scopus.com/inward/citedby.url?scp=67649230275&partnerID=8YFLogxK
U2 - 10.1016/j.amjoto.2008.05.005
DO - 10.1016/j.amjoto.2008.05.005
M3 - Article
VL - 30
SP - 273
EP - 276
JO - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
JF - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
SN - 0196-0709
IS - 4
ER -