The Lower Extremity Ulcer, Mimicking Vascular Symptoms Due to Essential Thrombocythemia

Year 2014, Volume: 67 Issue: 2, 79 - 81, 31.08.2014

Fatih Ada Evren Özçınar , Sadık Eryılmaz Mehmet Çakıcı , Mustafa Bahadır İnan Levent Yazıcıoğlu , Nur Dikmen , Fatih Gümüş , Adnan Uysalel

Abstract

Lower extremity ulcers, especially those attributed to diabetes, venous disease or arterial disease comprise a substantial proportion of chronic ulcers. Meanwhile essential thrombocythemia is a rare component for the nonhealing ulcer disease . The thrombotic events primarily involved the microvasculature, with thrombosis of large vessels occurring far less frequently. We present an eighty-three year-old male patient suffering from bilateral lower extremity ulcers and pain. The underlying mechanism of his nonhealing ulcer is due to the essential thrombocythemia diagnosed during the admission. The patient was discharged with medical treatment after the amputation of necrotic tissues.

Keywords

Essential Thrombocythemia , Cardiovascular Surgery , Extremity Ulcer

Ethical Statement

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Supporting Institution

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Thanks

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Esansiyel Trombositemiye Bağlı Vasküler Semptomları Taklit Eden Alt Ekstremite Ülseri

Abstract

Diyabet, venöz hastalıklar ve arteryal hastalıklar alt ekstremite ülserlerinin önemli bir kısmını oluşturur. Aynı zamanda, iyileşmeyen ülser hastalıklarında esansiyel trombositemi nadir görülen bir nedendir. Esansiyel trombositemide trombotik olaylar özellikle küçük damarlar ve kapiller damarlarda görülürken büyük damarlarda trombotik olaylar nadirdir. Seksen üç yaşında her iki alt ekstremitede ülser ve ağrı şikayetleri olan bir hastayı bildirdik. İyileşmeyen ülserin altta yatan mekanizması başvuru sırasanda tanı konulan esansiyel trombositemiye bağlıydı. Hasta nekrotik dokular ampute edildikten sonra medikal tedavisi düzenlenerek taburcu edildi.

Keywords

Esansiyel Trombositemi , Kardiyovasküler Cerrahi , Eksremite Ülseri

Ethical Statement

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Supporting Institution

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Thanks

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References

• 1. Greer N, Foman NA, Donanld RM, et al. Advanced Wound Care Therapies for Nonhealing Diabetic, Venous and Arterial Ulcers: Ann Intern Med. 2013;159:532-542
• 2. Ayello EA. What does the wound say? Why determining etiology is essential for appropriate wound care. Adv Skin Wound Care. 2005;18:98-109
• 3. Mozahep Z. Thromboembolic complication in essential thrombocythemia. Pan Afr Med J. 2012; 13: 58.
• 4. Carobbio A, Finazzi G, Antonioli E, et al. Thrombocytosis and leukocytosis interaction in vascular complications of essential thrombocythemia. Blood Journal. 2008;112:8.
• 5. H. A. Keskin, F. Yetisir, H. Bayram et al., “Celiac artery thrombosis and superior mesenteric artery stenoses with essential thrombocythemia: a case report,” Case Reports in Medicine, vol. 2012, Article ID741653, 3 pages, 2012.
• 6. Schölzel BE, Endeman H, Dewilde W, et al. Cardiac surgery in a patient with essential thrombocythemia: a case report. Netherlands Heart Journal. 2010;18:7-8.