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腕管手术后的术后坏疽性脓皮病:一例报告及文献综述

Postoperative Pyoderma Gangrenosum Following Carpal Tunnel Surgery: A Case Report and Review of the Literature.

作者信息

Edek Yusuf Can, Temirkaynak Muhammed Kaan, Temel Berkay, Urgancı Melike, Öğüt Betül, Adışen Esra

机构信息

Dermatology, Gazi University, Ankara, TUR.

Dermatology, Ankara Training and Research Hospital, Ministry of Health, Ankara, TUR.

出版信息

Cureus. 2024 Feb 20;16(2):e54590. doi: 10.7759/cureus.54590. eCollection 2024 Feb.

DOI:10.7759/cureus.54590
PMID:38523971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10959458/
Abstract

Pyoderma gangrenosum (PG) is a neutrophilic dermatosis characterized by painful ulcerated lesions. Postoperative PG, which typically begins with erythema and severe pain within two weeks after surgery, progresses into ulcerated lesions. It is often misdiagnosed as it resembles necrotizing skin infections, resulting in delayed treatment. Cases of postoperative PG located in the upper extremity are uncommon. In this case report, we discuss a male patient who developed postoperative PG after carpal tunnel surgery.

摘要

坏疽性脓皮病(PG)是一种以疼痛性溃疡病变为特征的嗜中性皮肤病。术后PG通常在手术后两周内开始出现红斑和剧痛,进而发展为溃疡性病变。由于它类似于坏死性皮肤感染,常常被误诊,导致治疗延误。上肢发生术后PG的病例并不常见。在本病例报告中,我们讨论了一名男性患者,他在腕管手术后发生了术后PG。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e983/10959458/d4e24a899d23/cureus-0016-00000054590-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e983/10959458/d4e24a899d23/cureus-0016-00000054590-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e983/10959458/d4e24a899d23/cureus-0016-00000054590-i01.jpg

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本文引用的文献

1
The Clinical Characteristics of Patients With Pyoderma Gangrenosum in a Tertiary Referral Hospital: A Retrospective Cohort Study.三级转诊医院坏疽性脓皮病患者的临床特征:一项回顾性队列研究
Int J Low Extrem Wounds. 2023 Sep 12:15347346231196957. doi: 10.1177/15347346231196957.
2
Pyoderma Gangrenosum: An Updated Literature Review on Established and Emerging Pharmacological Treatments.坏疽性脓皮病:已确立和新兴药物治疗的最新文献综述。
Am J Clin Dermatol. 2022 Sep;23(5):615-634. doi: 10.1007/s40257-022-00699-8. Epub 2022 May 24.
3
Pyoderma Gangrenosum After Hand Surgery: A Case Report.
手部手术后发生坏疽性脓皮病:一例报告
Wounds. 2021 Feb;33(2):E14-E16.
4
[Pyoderma gangrenosum: a complication following surgery for carpal tunnel syndrome].[坏疽性脓皮病:腕管综合征手术后的一种并发症]
Ned Tijdschr Geneeskd. 2019 May 24;163:D3393.
5
Pyoderma gangrenosum - a guide to diagnosis and management .坏疽性脓皮病—诊断与治疗指南
Clin Med (Lond). 2019 May;19(3):224-228. doi: 10.7861/clinmedicine.19-3-224.
6
Pyoderma Gangrenosum Following Carpal Tunnel Release: A Case Report.腕管松解术后发生坏疽性脓皮病:一例报告
JBJS Case Connect. 2018 Oct-Dec;8(4):e91. doi: 10.2106/JBJS.CC.18.00116.
7
Postsurgical Pyoderma Gangrenosum Following Carpal Tunnel Release: A Rare Disease Following a Common Surgery.腕管松解术后坏疽性脓皮病:常见手术后的罕见疾病
Eplasty. 2017 Mar 21;17:e10. eCollection 2017.
8
Pyoderma Gangrenosum: A Report of 27 Patients.坏疽性脓皮病:27例患者的报告
Int J Low Extrem Wounds. 2016 Jun;15(2):148-54. doi: 10.1177/1534734616639172. Epub 2016 Mar 23.
9
Postoperative pyoderma gangrenosum (PG): the Mayo Clinic experience of 20 years from 1994 through 2014.术后坏疽性脓皮病(PG):1994 年至 2014 年 20 年期间梅奥诊所的经验。
J Am Acad Dermatol. 2015 Oct;73(4):615-22. doi: 10.1016/j.jaad.2015.06.054. Epub 2015 Jul 21.
10
The Treg/Th17 cell ratio is reduced in the skin lesions of patients with pyoderma gangrenosum.坏疽性脓皮病患者皮肤病变中调节性T细胞/辅助性T细胞17的比例降低。
Br J Dermatol. 2015 Jul;173(1):275-8. doi: 10.1111/bjd.13670. Epub 2015 May 16.