Necrotizing fasciitis - Revision history

Michael: /* Microscopic */

2021-05-28T19:42:55Z

Microscopic

2021-05-28T19:39:16Z

Sign out: more

← Older revision		Revision as of 19:39, 28 May 2021
Line 96:		Line 96:
	</pre>		</pre>

	===Micro===		===Alternate===
			<pre>
			Submitted as "Tissue from Left Elbow", Excision:
			- Skin and subcutaneous tissue with marked inflammation (see microscopic),
			consistent with clinical impression of necrotizing fasciitis.

			Comment:
			The positive tissue cultures are noted.
			</pre>

			====Micro====
	Necrotic fascial tissue with inflamed adipose tissue and micro-abscess formation at dermis/subcutis interface. The overlying skin is moderately inflamed and edematous appearing.		Necrotic fascial tissue with inflamed adipose tissue and micro-abscess formation at dermis/subcutis interface. The overlying skin is moderately inflamed and edematous appearing.

2021-05-28T19:26:02Z

Sign out

← Older revision		Revision as of 19:26, 28 May 2021
Line 95:		Line 95:
	- Consistent with clinical impression of necrotizing fasciitis.		- Consistent with clinical impression of necrotizing fasciitis.
	</pre>		</pre>

			===Micro===
			Necrotic fascial tissue with inflamed adipose tissue and micro-abscess formation at dermis/subcutis interface. The overlying skin is moderately inflamed and edematous appearing.

	==See also==		==See also==

2015-11-02T22:08:54Z

2015-10-21T18:57:21Z

← Older revision		Revision as of 18:57, 21 October 2015
Line 27:		Line 27:
	\| Prognosis = poor		\| Prognosis = poor
	\| Other =		\| Other =
	\| ClinDDx = cellulitis, abscess		\| ClinDDx = [[cellulitis]], abscess
	\| Tx = surgical debridement, antibiotics		\| Tx = surgical debridement, antibiotics
	}}		}}

2015-10-21T18:56:53Z

General

2014-08-19T18:58:25Z

← Older revision		Revision as of 18:58, 19 August 2014
Line 7:		Line 7:
	\| Micro = necrotic fascia - amorphous grey or pink material and [[neutrophil]]s		\| Micro = necrotic fascia - amorphous grey or pink material and [[neutrophil]]s
	\| Subtypes =		\| Subtypes =
	\| LMDDx =		\| LMDDx = [[vasculitis]]
	\| Stains =		\| Stains =
	\| IHC =		\| IHC =
Line 33:		Line 33:

	It should '''''not''' to be confused with [[nodular fasciitis]]''.		It should '''''not''' to be confused with [[nodular fasciitis]]''.

			In the perineum/genital region it is known as ''Fournier gangrene''.<ref name=pmid23771967>{{Cite journal \| last1 = Haemers \| first1 = K. \| last2 = Peters \| first2 = R. \| last3 = Braak \| first3 = S. \| last4 = Wesseling \| first4 = F. \| title = Necrotising fasciitis of the thigh. \| journal = BMJ Case Rep \| volume = 2013 \| issue = \| pages = \| month = \| year = 2013 \| doi = 10.1136/bcr-2013-009331 \| PMID = 23771967 }}</ref>

	==General==		==General==
Line 80:		Line 82:
	DDx:		DDx:
	*[[Cellulitis]].		*[[Cellulitis]].
			*[[Vasculitis]].

	===Images===		===Images===

2013-12-30T14:25:04Z

← Older revision		Revision as of 14:25, 30 December 2013
Line 36:		Line 36:
	==General==		==General==
	Clinical:		Clinical:
	*Pain - ~~classic~~ out-of-keep with appearance.		*Pain - classically out-of-keep with appearance.
	*Features of sepsis - late.		*Features of sepsis - late.
	*Often nonspecific.<ref name=pmid22491537/>		*Often nonspecific.<ref name=pmid22491537/>

2013-12-30T04:10:01Z

← Older revision		Revision as of 04:10, 30 December 2013
Line 15:		Line 15:
	\| Gross = sloughing, bulae, erythema		\| Gross = sloughing, bulae, erythema
	\| Grossing =		\| Grossing =
	\| Site = [[skin]]		\| Site = [[skin]] / subcutaneous tissue
	\| Assdx =		\| Assdx =
	\| Syndromes =		\| Syndromes =
	\| Clinicalhx =		\| Clinicalhx = +/-trauma
	\| Signs = subcutaneous emphysema, edema, skin sloughing, bulae, erythema, signs of sepsis		\| Signs = subcutaneous emphysema, edema, skin sloughing, bulae, erythema, signs of sepsis
	\| Symptoms = pain		\| Symptoms = pain

2013-12-30T04:04:28Z

← Older revision		Revision as of 04:04, 30 December 2013
Line 1:		Line 1:
			{{ Infobox diagnosis
			\| Name = {{PAGENAME}}
			\| Image = Necrotizing_fasciitis_-_high_mag.jpg
			\| Width =
			\| Caption = Necrotizing fasciitis. [[H&E stain]].
			\| Synonyms =
			\| Micro = necrotic fascia - amorphous grey or pink material and [[neutrophil]]s
			\| Subtypes =
			\| LMDDx =
			\| Stains =
			\| IHC =
			\| EM =
			\| Molecular =
			\| IF =
			\| Gross = sloughing, bulae, erythema
			\| Grossing =
			\| Site = [[skin]]
			\| Assdx =
			\| Syndromes =
			\| Clinicalhx =
			\| Signs = subcutaneous emphysema, edema, skin sloughing, bulae, erythema, signs of sepsis
			\| Symptoms = pain
			\| Prevalence = uncommon
			\| Bloodwork =
			\| Rads =
			\| Endoscopy =
			\| Prognosis = poor
			\| Other =
			\| ClinDDx = cellulitis, abscess
			\| Tx = surgical debridement, antibiotics
			}}
	'''Necrotizing fasciitis''', also known as '''flesh-eating disease''', is an uncommon [[non-malignant skin disease]] with a high mortality.		'''Necrotizing fasciitis''', also known as '''flesh-eating disease''', is an uncommon [[non-malignant skin disease]] with a high mortality.

Line 37:		Line 68:
	Image:Necrotizing_fasciitis_left_leg.JPEG \| Necrotizing fasciitis. (WC)		Image:Necrotizing_fasciitis_left_leg.JPEG \| Necrotizing fasciitis. (WC)
	</gallery>		</gallery>

	==Microscopic==		==Microscopic==
	Features:		Features:

← Older revision		Revision as of 22:08, 2 November 2015
Line 89:		Line 89:
	Image:Necrotizing_fasciitis_-_high_mag.jpg \| Necrotizing fasciitis - high mag. (WC)		Image:Necrotizing_fasciitis_-_high_mag.jpg \| Necrotizing fasciitis - high mag. (WC)
	</gallery>		</gallery>

			==Sign out==
			<pre>
			Perianal Skin and Subcutaneous Tissue, Excision:
			- Consistent with clinical impression of necrotizing fasciitis.
			</pre>

	==See also==		==See also==