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Difference between revisions of "Necrotizing fasciitis"
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| Micro = necrotic fascia - amorphous grey or pink material and [[neutrophil]]s | | Micro = necrotic fascia - amorphous grey or pink material and [[neutrophil]]s | ||
| Subtypes = | | Subtypes = | ||
| LMDDx = | | LMDDx = [[vasculitis]] | ||
| Stains = | | Stains = | ||
| IHC = | | IHC = | ||
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| Prognosis = poor | | Prognosis = poor | ||
| Other = | | Other = | ||
| ClinDDx = cellulitis, abscess | | ClinDDx = [[cellulitis]], abscess | ||
| Tx = surgical debridement, antibiotics | | Tx = surgical debridement, antibiotics | ||
}} | }} | ||
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It should '''''not''' to be confused with [[nodular fasciitis]]''. | It should '''''not''' to be confused with [[nodular fasciitis]]''. | ||
In the perineum/genital region it is known as ''Fournier gangrene''.<ref name=pmid23771967>{{Cite journal | last1 = Haemers | first1 = K. | last2 = Peters | first2 = R. | last3 = Braak | first3 = S. | last4 = Wesseling | first4 = F. | title = Necrotising fasciitis of the thigh. | journal = BMJ Case Rep | volume = 2013 | issue = | pages = | month = | year = 2013 | doi = 10.1136/bcr-2013-009331 | PMID = 23771967 }}</ref> | |||
==General== | ==General== | ||
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Clinical DDx: | Clinical DDx: | ||
*Abscess. | *Abscess. | ||
*Cellulitis. | *[[Cellulitis]]. | ||
Epidemiology: | Epidemiology: | ||
| Line 80: | Line 82: | ||
DDx: | DDx: | ||
*[[Cellulitis]]. | *[[Cellulitis]]. | ||
*[[Vasculitis]]. | |||
*[[Erythema nodosum]].{{fact}} | |||
===Images=== | ===Images=== | ||
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Image:Necrotizing_fasciitis_-_high_mag.jpg | Necrotizing fasciitis - high mag. (WC) | Image:Necrotizing_fasciitis_-_high_mag.jpg | Necrotizing fasciitis - high mag. (WC) | ||
</gallery> | </gallery> | ||
==Sign out== | |||
<pre> | |||
Perianal Skin and Subcutaneous Tissue, Excision: | |||
- Consistent with clinical impression of necrotizing fasciitis. | |||
</pre> | |||
===Alternate=== | |||
<pre> | |||
Submitted as "Tissue from Left Elbow", Excision: | |||
- Skin and subcutaneous tissue with marked inflammation (see microscopic), | |||
consistent with clinical impression of necrotizing fasciitis. | |||
Comment: | |||
The positive tissue cultures are noted. | |||
</pre> | |||
====Micro==== | |||
Necrotic fascial tissue with inflamed adipose tissue and micro-abscess formation at dermis/subcutis interface. The overlying skin is moderately inflamed and edematous appearing. | |||
==See also== | ==See also== | ||