Abstract
Purpura Fulminans ekstremitelerde cilt ve yumuşak dokunun hemorajik nekrozu ile seyreden, mortalite ve morbiditesi yüksek bir hastalıktır. Eklem bölgelerindeki kontraktür gelişimi, ekstremitelerde fonksiyon kaybı ile sonuçlanmaktadır. Cilt defektlerinin onarımında gümüş içerikli yara bakım ürünlerinin kullanımı, asellüler dermal matriks ve kısmi kalınlıkta deri grefti uygulamaları güncel plastik cerrahi yaklaşımlardandır. %55 vücut yüzey alanı nekrozlu 12 yaşındaki purpura fulminans tanısı alan pediatrik olgumuzda, seri debridmanlar ve gümüş içerikli yara örtüleri ile takip sonrası ekstremite eklem fonksiyonunu korumaya yönelik onarımda deri eşdeğeri MatriDerm ilk kez uygulandı. Hastanın alt ekstremite eklem hareketlerinde ekstansiyon ve fleksiyonda ROM range of motion ’da kısıtlılık saptanmadı
Keywords
References
- Mazzone L, Schiestl C. Management of septic skin necroses. Eur J Pediatr Surg 2013; 23(5):349-58.
- Roughton MC, Agarwal S, Gottlieb LJ. Surgical management of acute infectious purpura fulminans. J Burn Care Res 2011; 32(2):231-6.
- Lowery K, Shirley R, Shelley OP, Kaniorou-Larai M, Philp B, Dziewulski P. Purpura fulminans skin loss: Surgical management protocols at a regional burns centre. J Plast Reconstr Aesthet Surg 2008; 61(12):1520-3.
- Hansson E, Tedgard U, Becker M. Plastic surgical treatment of purpura fulminans: Long-term follow-up of two patients. J Plast Surg Hand Surg 2013; 47(2):147-51.
- Philandrianos C, Andrac-Meyer L, Mordon S, Feuerstein JM, Sabatier F, Veran J, Magalon G, Casanova D. Comparison of five dermal substitutes in full-thickness skin wound healing in a porcine model. Burns 2012; 38(6):820-9.
Abstract
Purpura Fulminans is a disorder with high mortality and morbidity, and is characterized by hemorrhagic infarcts of skin and soft tissue. Contracture development at the joint areas may result in extremity dysfunction. Using silver-coated wound care dressings and acellular dermal matrix with split-thickness skin grafts to repair skin defects are the current approaches in plastic surgery. We used the acellular dermal substitute MatriDerm for the first time to protect joint movements in a 12-year-old pediatric patient diagnosed with Purpura Fulminans with necrosis of 55% of the total body surface area, after following the patient with extremity-protecting serial debridements and applying silver-containing wound dressings. We observed no limitation of the range of motion during lower extremity flexion or extension movements
Keywords
References
- Mazzone L, Schiestl C. Management of septic skin necroses. Eur J Pediatr Surg 2013; 23(5):349-58.
- Roughton MC, Agarwal S, Gottlieb LJ. Surgical management of acute infectious purpura fulminans. J Burn Care Res 2011; 32(2):231-6.
- Lowery K, Shirley R, Shelley OP, Kaniorou-Larai M, Philp B, Dziewulski P. Purpura fulminans skin loss: Surgical management protocols at a regional burns centre. J Plast Reconstr Aesthet Surg 2008; 61(12):1520-3.
- Hansson E, Tedgard U, Becker M. Plastic surgical treatment of purpura fulminans: Long-term follow-up of two patients. J Plast Surg Hand Surg 2013; 47(2):147-51.
- Philandrianos C, Andrac-Meyer L, Mordon S, Feuerstein JM, Sabatier F, Veran J, Magalon G, Casanova D. Comparison of five dermal substitutes in full-thickness skin wound healing in a porcine model. Burns 2012; 38(6):820-9.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | January 1, 2020 |
| Published in Issue | Year 2020 Volume: 6 Issue: 2 |