Difference between revisions of "Non-malignant skin disease"

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Non-malignant skin disease (view source)

Revision as of 03:37, 30 December 2013

1,295 bytes removed ,  03:37, 30 December 2013
→‎Necrotizing fasciitis: split out
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:'''''Not''' to be confused with [[nodular fasciitis]]''.
:'''''Not''' to be confused with [[nodular fasciitis]]''.
*[[AKA]] ''flesh-eating disease''.
*[[AKA]] ''flesh-eating disease''.
===General===
{{Main|Necrotizing fasciitis}}
*High mortality.
*May be diagnosed at [[frozen section]].<ref name=pmid9386043>{{Cite journal  | last1 = Majeski | first1 = J. | last2 = Majeski | first2 = E. | title = Necrotizing fasciitis: improved survival with early recognition by tissue biopsy and aggressive surgical treatment. | journal = South Med J | volume = 90 | issue = 11 | pages = 1065-8 | month = Nov | year = 1997 | doi =  | PMID = 9386043 }}</ref>
*Classically associated with ''Group A streptococcus''.
 
Treatment:
*Operative debridement.
 
===Microscopic===
Features:
*Necrosis of fascia - '''key feature'''.<ref name=pmid15735411>{{Cite journal  | last1 = Wong | first1 = CH. | last2 = Wang | first2 = YS. | title = The diagnosis of necrotizing fasciitis. | journal = Curr Opin Infect Dis | volume = 18 | issue = 2 | pages = 101-6 | month = Apr | year = 2005 | doi =  | PMID = 15735411 | URL = http://www.sepeap.org/archivos/pdf/9859.pdf }}</ref>
**[[PMN]]s and necrotic debris (amorphous grey or pink material).
 
Note:
*Fat lobules between septae may be normal.
 
DDx:
*[[Cellulitis]].
 
Images:
*[http://commons.wikimedia.org/wiki/File:Necrotizing_fasciitis_-_intermed_mag.jpg Necrotizing fasciitis - intermed. mag. (WC)].
*[http://commons.wikimedia.org/wiki/File:Necrotizing_fasciitis_-_high_mag.jpg Necrotizing fasciitis - high mag. (WC)].


==Porokeratosis==
==Porokeratosis==
Michael
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