Plastic surgical treatment of purpura fulminans: Long-term follow-up of two patients.
Hansson, Emma LU ; Tedgård, Ulf LU and Becker, Magnus LU
(2013)
In Journal of Plastic Surgery and Hand Surgery
47(2).
p.147-151
- Abstract
- Abstract Purpura fulminans (PF) is a rapidly progressing, potentially life-threatening condition characterised by disseminated intravascular coagulation (DIC) and haemorrhagic infarction of the skin. Plastic surgical treatment of PF has never been reported in Scandinavia. The aim of this report was to review plastic surgical treatment of PF and the long-term results of two patients treated in our department. Both patients presented to a community hospital with skin lesions looking like simple traumatic skin bleeds a period after a Varicella infection. They were initially treated at the community hospitals with broad-spectrum antibiotics and adjunctive therapies. When their condition permitted, they were transferred to the department of... (More)
- Abstract Purpura fulminans (PF) is a rapidly progressing, potentially life-threatening condition characterised by disseminated intravascular coagulation (DIC) and haemorrhagic infarction of the skin. Plastic surgical treatment of PF has never been reported in Scandinavia. The aim of this report was to review plastic surgical treatment of PF and the long-term results of two patients treated in our department. Both patients presented to a community hospital with skin lesions looking like simple traumatic skin bleeds a period after a Varicella infection. They were initially treated at the community hospitals with broad-spectrum antibiotics and adjunctive therapies. When their condition permitted, they were transferred to the department of paediatrics of Skåne University Hospital where their DIC was treated further. The patients were transferred to the department of plastic and reconstructive surgery, when medically stable, and operated on with debridement, and amputation of a toe in one patient, and the application of autologous skin grafts. The children made an excellent recovery and were discharged home after 1.5 months and 3 weeks, respectively. At follow-up, 14 years and 8 years later, respectively, the patients were fully recovered and no secondary corrections were indicated. In conclusion, debridement of necrotic tissue should be performed in a department of plastic and reconstructive surgery as soon as the child is clinically stable, and skin grafting when the wound bed permits it. Follow-up should be performed in the same fashion as for full-thickness burns. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3347666
- author
- Hansson, Emma
LU
; Tedgård, Ulf
LU
and Becker, Magnus
LU
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Plastic Surgery and Hand Surgery
- volume
- 47
- issue
- 2
- pages
- 147 - 151
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000316362300015
- pmid:23210495
- scopus:84875405308
- pmid:23210495
- ISSN
- 2000-656X
- DOI
- 10.3109/2000656X.2012.729511
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Reconstructive Surgery (013240300), Paediatric Hematologic Research Group (013243020), Surgery Research Unit (013242220)
- id
- 623e4d83-fbae-4353-aae9-f988b0e4a5d2 (old id 3347666)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/23210495?dopt=Abstract
- date added to LUP
- 2016-04-01 10:07:19
- date last changed
- 2023-09-13 18:23:13
@article{623e4d83-fbae-4353-aae9-f988b0e4a5d2,
abstract = {{Abstract Purpura fulminans (PF) is a rapidly progressing, potentially life-threatening condition characterised by disseminated intravascular coagulation (DIC) and haemorrhagic infarction of the skin. Plastic surgical treatment of PF has never been reported in Scandinavia. The aim of this report was to review plastic surgical treatment of PF and the long-term results of two patients treated in our department. Both patients presented to a community hospital with skin lesions looking like simple traumatic skin bleeds a period after a Varicella infection. They were initially treated at the community hospitals with broad-spectrum antibiotics and adjunctive therapies. When their condition permitted, they were transferred to the department of paediatrics of Skåne University Hospital where their DIC was treated further. The patients were transferred to the department of plastic and reconstructive surgery, when medically stable, and operated on with debridement, and amputation of a toe in one patient, and the application of autologous skin grafts. The children made an excellent recovery and were discharged home after 1.5 months and 3 weeks, respectively. At follow-up, 14 years and 8 years later, respectively, the patients were fully recovered and no secondary corrections were indicated. In conclusion, debridement of necrotic tissue should be performed in a department of plastic and reconstructive surgery as soon as the child is clinically stable, and skin grafting when the wound bed permits it. Follow-up should be performed in the same fashion as for full-thickness burns.}},
author = {{Hansson, Emma and Tedgård, Ulf and Becker, Magnus}},
issn = {{2000-656X}},
language = {{eng}},
number = {{2}},
pages = {{147--151}},
publisher = {{Taylor & Francis}},
series = {{Journal of Plastic Surgery and Hand Surgery}},
title = {{Plastic surgical treatment of purpura fulminans: Long-term follow-up of two patients.}},
url = {{http://dx.doi.org/10.3109/2000656X.2012.729511}},
doi = {{10.3109/2000656X.2012.729511}},
volume = {{47}},
year = {{2013}},
}