Clinical Case Database / Category: Practical Procedure
Pyoderma gangrenosum
Publication details
Dr Anne-Marie Skellett, Dr Nasir Shah, Dr Clive Grattan
Foundation Years Journal, volume 2, issue 9, p.361 (123Doc Education, London, November 2008)
Abstract
A 60-year-old lady is referred to the dermatology department with an enlarging ulcer on her lower leg over the last month. She complains of generalised lethargy. She has no past medical history of note.
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Authors
Dr Anne-Marie Skellett (Corresponding author)
Dermatology Department
Norfolk and Norwich University Hospital
NHS Foundation Trust
Colney Lane, Norwich
Norfolk
NR4 7UY
anne.skellett@nnuh.nhs.uk
Dr Nasir Shah
Dermatology Department
Norfolk and Norwich University Hospital
NHS Foundation Trust
Colney Lane, Norwich
Norfolk
NR4 7UY
Dr Clive Grattan
Dermatology Department
Norfolk and Norwich University Hospital
NHS Foundation Trust
Colney Lane, Norwich
Norfolk
NR4 7UY
References
1 National Institute for health and clinical excellence. Referral Guidelines for suspected cancer. Available from: www.nice.org.uk/CG027
2. Austin JR, Byers RM, Brown WD, Wolf P. Influence of biopsy on the prognosis of cutaneous melanoma of the head and neck. Head and Neck, 1996, 18:107–117.
3. Stables G, Lawrence C. Management of patients taking anticoagulant, aspirin, non-steroidal anti-inflammatory and other anti-platelet drugs undergoing dermatological surgery. Clin Exp Dermatol, 2002, 27(6): 432–435.
4. Alam M, Goldberg LH. Serious adverse vascular events associated with perioperative interruption of antiplatelet and anticoagulant therapy. Dermatol Surg, 2002, 28(11):992–998.
5. Lewis KG, Dufresne RG. A meta-analysis of complications attributed to anticoagulation among patients following cutaneous surgery. Dermatol Surg, 2008, 34(2):160–164.
6. Reichrath J, Bens G, Bonowitz A, et al. Treatment recommendations for pyoderma gangrenosum: an evidence-based review of the literature based on more than 350 patients. J Am Acad Dermatol, 2005, 53(2):273–283.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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