Landis Stefan J, Selinger Susan, Flett Norman
Hamilton Health Sciences and McMaster University, Hamilton, Ontario, Canada.
Int Wound J. 2005 Dec;2(4):358-61. doi: 10.1111/j.1742-4801.2005.00151.x.
Scalp necrosis is rare in patients with giant cell arteritis. Here, we report the case of an 81-year-old woman who presented with a management problem that required a truly multidisciplinary approach to treatment. A combined approach of effective wound bed preparation with selective debridement, prolonged antimicrobial therapy, corticosteroid use and careful dressing choices resulted in a successful outcome in a potentially disastrous situation.
头皮坏死在巨细胞动脉炎患者中较为罕见。在此,我们报告一例81岁女性患者的病例,该患者面临一个需要真正多学科治疗方法的管理问题。采用有效的伤口床准备联合选择性清创、延长抗菌治疗、使用皮质类固醇以及谨慎选择敷料的综合方法,在一个可能灾难性的情况下取得了成功的结果。