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Topic: What's this? (Read 2379 times)
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dr_b.e.s.m
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Today, it was my first time to hear about this skin condition.
Today, a 2 years old child was referred from peds to dermatology out patient clinic because he had skin lesions on his abdomen.
The patient had hepatospleenomegaly , pancytopenia and was admitted to peds for investigations (suspected leukemia).
This image isn't for the patient but it's very close to it.
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 e-g.jpg (9.42 KB - downloaded 33 times.)
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« Last Edit: November 19, 2005, 02:36:17 PM by dr_b.e.s.m »
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"And whosoever fears Allah and keeps his duty to Him, He will make a way for him to get out (from every difficulty). And He will provide him from (sources) he never could imagine."? TMQ (64:2-3 )
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dr_b.e.s.m
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What's this?
« Reply #1 on: November 19, 2005, 02:15:18 PM » |
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It's called ecthyma gangrenosum. And it's different from the ordinary ecthyma.
Here is a hint about it :
The disease, caused by pseudomonal infection, usually occurs in patients with an immune deficit.
Primary lesions: Primary cutaneous lesions of EG initially appear as edematous, well-circumscribed plaques that rapidly become erythematous. A hemorrhagic focus appears in the central area and may fill with blood to form a bulla. The hemorrhagic lesion spreads peripherally and eventually turns into a black necrotic ulcer with an erythematous rim. The transformation of an early lesion to a necrotic ulcer may take place within 12 hours.
Distribution of lesions: EG may appear at any location on the body; however, it commonly appears on the gluteal or perineal region (57%), extremities (30%), trunk (6%), and face (2%).
>> Consider ecthyma gangrenosum in immunocompromised patients who present with purple skin lesions plus fever.
Treatment of EG requires the use of antipseudomonal antibiotic.
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"And whosoever fears Allah and keeps his duty to Him, He will make a way for him to get out (from every difficulty). And He will provide him from (sources) he never could imagine."? TMQ (64:2-3 )
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dr_dina
Full Member
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Posts: 29
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HI DEAR COLLAGUE
BUT WHY PATIENT HAVE HEPATOSPLENOMEGALLY AND PANCYTOPENIA IS IT RESULT FROM PSEUDOMONAS INFECTION?
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dr_b.e.s.m
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HSM and pancytopenia are due to the haemtological disease he already have . the pseudomonas infection is secondry to pancytopenia and decreased immunity he had due to the haematological disease. by the way, the patient is admitted to pediatrics hospital in the haematology unit if you wanna see him?  |
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« Last Edit: November 23, 2005, 03:09:36 PM by cleo_md »
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"And whosoever fears Allah and keeps his duty to Him, He will make a way for him to get out (from every difficulty). And He will provide him from (sources) he never could imagine."? TMQ (64:2-3 )
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3abeer
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dear dr b.e.s.m 1st of all, thanks 4 ur great effort on the site , well done & all in the mizan inshalla  2nd, thanks 4 reminding us by this condition, as iremember i saw one kid with EG when i was in peds rotation , keep going |
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And whosoever fears Allah and keeps his duty to Him, He will make a way for him to get out (from every difficulty). And He will provide him from (sources) he never could imagine." TMQ (64:2-3 )
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dr_b.e.s.m
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Thanks Dr Abeer for your nice words. I am happy because what I send here is useful and I hope it'll be in mizan insha`allah. I sent this topic about EG because I felt that it's important and may be life saving! For example this kid was immunocompromised and had pseudomonas septicemia that was almost occult with no other signs and symptoms ( may be because of his low immunity) then we diagnose and treat this dangerous condition based on a skin lesion that can be missed ! |
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"And whosoever fears Allah and keeps his duty to Him, He will make a way for him to get out (from every difficulty). And He will provide him from (sources) he never could imagine."? TMQ (64:2-3 )
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