Multiple subcutaneous haematomas of the legs causing skin necrosis in an elderly patient affected by corticosteroid-induced skin atrophy: Case report and review of literature.
compartment syndrome
corticosteroid-induced skin atrophy
porcine xenograft
skin necrosis
Journal
International wound journal
ISSN: 1742-481X
Titre abrégé: Int Wound J
Pays: England
ID NLM: 101230907
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
18
01
2018
accepted:
16
03
2018
pubmed:
24
1
2020
medline:
7
4
2021
entrez:
24
1
2020
Statut:
ppublish
Résumé
Corticosteroid-induced skin atrophy (CISA) consists of a thinning of the skin and subcutaneous tissues, representing the natural consequence of a prolonged glucocorticosteroids use, both systemic as well as topical. It is characterised by the loss of elasticity and skin thickness, associated with an increased skin fragility leading to ecchymoses, haematomas, and steroid purpura. The management of CISA is a challenge for physicians, as the pathology is reversible in a minimal percentage of cases and only after a short topical steroid or low-dose course therapy. Often wounds with large loss of substance represent the more common complication, after a surgical drainage which is often necessary. Skin necrosis with compartment syndrome of a leg is another potential risk for these patients. Here, we report a case of an elderly patient affected by multiple subcutaneous haematomas of the legs causing skin necrosis, arisen after the use of anticoagulants for a deep venous thrombosis. The patient was successfully treated with surgical drainage, negative pressure wound therapy (NPWT), and porcine xenograft with no complications. Finally, we discuss the evidence of the current literature on topic.
Identifiants
pubmed: 31972900
doi: 10.1111/iwj.13312
pmc: PMC7949342
doi:
Substances chimiques
Adrenal Cortex Hormones
0
Anticoagulants
0
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
540-546Informations de copyright
© 2020 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
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