Document Detail


Pyoderma gangrenosum associated with chronic idiopathic myelofibrosis after coronary artery bypass graft surgery.
MedLine Citation:
PMID:  19846444     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pyoderma gangrenosum (PG) is an ulceronecrotizing dermatosis that can occur after minor trauma or surgery and is rare after cardiac surgery. We report a case of PG after coronary artery bypass grafting (CABG) in a patient with chronic idiopathic myelofibrosis (CIMF). Diagnosis was made with punch skin biopsy and he was treated with systemic steroids. His lesions showed remarkable improvement with this therapy. Cardiothoracic surgeons need to consider this diagnosis in all rapidly expanding postoperative lesions, especially those that do not improve with debridement or antibiotics or conservative wound care.
Authors:
Vinod A Sebastian; Bryan T Carroll; Michael E Jessen
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-10-21
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  10     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-18     Completed Date:  2010-01-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  135-7     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA. VASEBA@parknet.pmh.org
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use
Biopsy
Chronic Disease
Combined Modality Therapy
Coronary Artery Bypass / adverse effects*
Coronary Artery Disease / complications,  surgery*
Debridement
Humans
Male
Middle Aged
Negative-Pressure Wound Therapy
Primary Myelofibrosis / complications*
Pyoderma Gangrenosum / etiology*,  pathology,  therapy
Skin / pathology
Steroids / therapeutic use
Treatment Outcome
Wound Healing
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Steroids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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