Difference between revisions of "Pressure ulcer"
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==General== | ==General== | ||
*Common. | *Common, esp. in [[spina bifida]],<ref name=pmid21129225>{{Cite journal | last1 = Nthumba | first1 = PM. | title = Marjolin's ulcers: theories, prognostic factors and their peculiarities in spina bifida patients. | journal = World J Surg Oncol | volume = 8 | issue = | pages = 108 | month = | year = 2010 | doi = 10.1186/1477-7819-8-108 | PMID = 21129225 }}</ref> individuals with spinal cord injuries. | ||
Etiology: | |||
*Mechanical injury.<ref name=pmid20299616>{{Cite journal | last1 = Olesen | first1 = CG. | last2 = de Zee | first2 = M. | last3 = Rasmussen | first3 = J. | title = Missing links in pressure ulcer research--an interdisciplinary overview. | journal = J Appl Physiol | volume = 108 | issue = 6 | pages = 1458-64 | month = Jun | year = 2010 | doi = 10.1152/japplphysiol.01006.2009 | PMID = 20299616 }}</ref><ref name=pmid15157010>{{Cite journal | last1 = Hamanami | first1 = K. | last2 = Tokuhiro | first2 = A. | last3 = Inoue | first3 = H. | title = Finding the optimal setting of inflated air pressure for a multi-cell air cushion for wheelchair patients with spinal cord injury. | journal = Acta Med Okayama | volume = 58 | issue = 1 | pages = 37-44 | month = Feb | year = 2004 | doi = | PMID = 15157010 }}</ref> | |||
==Microscopic== | ==Microscopic== | ||
Revision as of 18:40, 10 November 2012
Pressure ulcer, also known as decubitus ulcer (as it often arises from lying down, i.e. being decubitus, a long time), is a relatively common ditzel.
General
- Common, esp. in spina bifida,[1] individuals with spinal cord injuries.
Etiology:
Microscopic
Features:
- Ulceration - full thickness loss of the epidermis.
- Inflammation - lymphocytes, plasma cells, neutrophils.
- +/-Abscess formation - clusters of extravascular neutrophils.
DDx:
- Squamous cell carcinoma of the skin.
- Known as a Marjolin's ulcer when arising in the context of long standing inflammation.[4]
References
- ↑ Nthumba, PM. (2010). "Marjolin's ulcers: theories, prognostic factors and their peculiarities in spina bifida patients.". World J Surg Oncol 8: 108. doi:10.1186/1477-7819-8-108. PMID 21129225.
- ↑ Olesen, CG.; de Zee, M.; Rasmussen, J. (Jun 2010). "Missing links in pressure ulcer research--an interdisciplinary overview.". J Appl Physiol 108 (6): 1458-64. doi:10.1152/japplphysiol.01006.2009. PMID 20299616.
- ↑ Hamanami, K.; Tokuhiro, A.; Inoue, H. (Feb 2004). "Finding the optimal setting of inflated air pressure for a multi-cell air cushion for wheelchair patients with spinal cord injury.". Acta Med Okayama 58 (1): 37-44. PMID 15157010.
- ↑ Simmons, MA.; Edwards, JM.; Nigam, A. (Dec 2000). "Marjolin's ulcer presenting in the neck.". J Laryngol Otol 114 (12): 980-2. PMID 11177375.