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Fluoroscopy-Induced Skin Necrosis
Jin Lee, BA;
Diane Hoss, MD;
Tania J. Phillips, MD
Arch Dermatol. 2003;139:140-142.
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REPORT OF A CASE
A 48-year-old obese man1 with a history of hypertension, coronary artery disease, and status post–quadruple bypass presented with an 8-month history of painful ulceration on the right midback. The initial lesion was described as a 4-cm square area of eroded eczematous dermatitis, which later developed 2 areas of ulceration that worsened despite various treatments, including oral and intralesional corticosteroids, oral antibiotic agents (erythromycin and ciprofloxacin), dapsone, and a hydrocolloid dressing.
Six months after onset, after initiation of high-dose prednisone therapy, examination revealed progression of the lesions into a large, necrotic ulcer measuring 4 x 4 x 3 cm, with copious amounts of expressible pus and foul-smelling discharge and muscle readily palpable on probing. Initial laboratory tests revealed a normal blood count, liver function, and serum protein electrophoresis.1 Wound culture revealed moderate Enterococcus species, diphtheroids, rare hemolytic streptococcus B, and  -hemolytic . . . [Full Text of this Article]
DIAGNOSTIC CHALLENGE
COMMENT
From the Boston University School of Medicine, Boston, Mass (Ms Lee and Dr Phillips); University of Connecticut Health Center, Farmington (Dr Hoss).
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Arch Dermatol 2007;143:637-640.
ABSTRACT
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