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Michelle T. Pelle, MD; O. Fred Miller III, MD
From the Geisinger Medical Center, Danville, Pa.

Arch Dermatol. 2001;137:1288-1290.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF CASES

A 50-year-old man with diabetes (patient 1) underwent left below-knee amputation (BKA) for a nonhealing infected foot ulcer. Necrotic eschars developed on the residual limb (Figure 1). He was referred to the dermatology department postoperatively for wound care prior to a planned above-knee amputation (AKA).

Figure appears in full text version. Figure 1. Adherent necrotic eschar at the suture line on a residual limb after a below-knee amputation (patient 1).

A 62-year-old man with diabetes (patient 2) underwent bilateral BKA for gangrene secondary to foot ulcerations. One month postoperatively he was referred to the dermatology department for wound care of necrotic eschars involving both distal residual limbs.

A 56-year-old man (patient 3) with diabetic neuropathy affecting both upper and lower extremities developed cellulitis and gangrene following thermal burns to the left sole. One month following BKA, the wound dehisced, and an adherent necrotic eschar formed . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT