Difference between revisions of "Necrotizing fasciitis"

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'''Necrotizing_fasciitis''', also known as '''flesh-eating disease''', is an uncommon [[mon-malignant skin disease]] with a high mortality.
'''Necrotizing_fasciitis''', also known as '''flesh-eating disease''', is an uncommon [[non-malignant skin disease]] with a high mortality.


It should '''''not''' to be confused with [[nodular fasciitis]]''.
It should '''''not''' to be confused with [[nodular fasciitis]]''.
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*[[Cellulitis]].
*[[Cellulitis]].


Images:
===Images===
*[http://commons.wikimedia.org/wiki/File:Necrotizing_fasciitis_-_intermed_mag.jpg Necrotizing fasciitis - intermed. mag. (WC)].
<gallery>
*[http://commons.wikimedia.org/wiki/File:Necrotizing_fasciitis_-_high_mag.jpg Necrotizing fasciitis - high mag. (WC)].
Image:Necrotizing_fasciitis_-_intermed_mag.jpg | Necrotizing fasciitis - intermed. mag. (WC)
Image:Necrotizing_fasciitis_-_high_mag.jpg | Necrotizing fasciitis - high mag. (WC)
</gallery>


==See also==
==See also==

Revision as of 03:40, 30 December 2013

Necrotizing_fasciitis, also known as flesh-eating disease, is an uncommon non-malignant skin disease with a high mortality.

It should not to be confused with nodular fasciitis.

General

  • High mortality.
  • May be diagnosed at frozen section.[1]
  • Classically associated with Group A streptococcus.

Treatment:

  • Operative debridement.

Microscopic

Features:

  • Necrosis of fascia - key feature.[2]
    • PMNs and necrotic debris (amorphous grey or pink material).

Note:

  • Fat lobules between septae may be normal.

DDx:

Images

See also

References

  1. Majeski, J.; Majeski, E. (Nov 1997). "Necrotizing fasciitis: improved survival with early recognition by tissue biopsy and aggressive surgical treatment.". South Med J 90 (11): 1065-8. PMID 9386043.
  2. Wong, CH.; Wang, YS. (Apr 2005). "The diagnosis of necrotizing fasciitis.". Curr Opin Infect Dis 18 (2): 101-6. PMID 15735411.