FISIOPATOLOGIA DE LA EQUIMOSIS PDF

Introduction: The Achenbach syndrome was described in the '50s by the German physician Walter Achenbach and corresponds to an entity characterized by the appearance of ecchymosis or purpura and even bruises on the fingers and sometimes on the feet. It courses benignly and is self-limited. Methods: We present the case of a year-old woman who was diagnosed with this syndrome after performing laboratory tests, antibodies and images without finding alterations in them, with improvement after receiving analgesia and physical means. Results: The Achenbach syndrome continues to be an unknown entity, with few reports in the literature.

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Skin necrosis. Report of eleven cases. Correspondencia a :. Skin necrosis must be considered as a syndrome, because it is a clinical manifestation of different diseases. An early diagnosis is very important to choose the appropriate treatment. Therefore, its causes should be suspected and confirmed quickly. We report eleven patients with skin necrosis seen at our Department, caused by different etiologies: Warfarin-induced skin necrosis, loxoscelism, diabetic microangiopathy, ecthyma gangrenosum, disseminated intravascular coagulation, necrotizing vasculitis, paraneoplastic extensive necrotizing vasculitis, livedoid vasculopathy, necrotizing fasciitis, necrosis secondary to the use of vasoactive drugs and necrosis secondary to the use of cocaine.

We also report the results of our literature review on the subject. Key words: Necrobiotic disorders; Skin diseases; Vasculitis. Puede usarse el suero anti-loxosceles que debe administrarse dentro de las primeras 4 h de ocurrida la mordedura 9. Figura 1. Figura 2. En el caso 6 se presenta una vasculitis necrotizante con biopsia compatible con VL probablemente secundaria a drogas. Figura 3. Caso 8: Vasculitis livedoide. Figura 4. Caso Necrosis por droga vasoactiva. Como terapia adicional se debe considerar el uso de vasodilatadores intravenosos.

Figura 5. Comentario final. Agradecimientos: Agradecemos al Dr. Warfarin induced skin necrosis. Br J Surg ; Necrose de mama relacionada ao uso de warfarina. J Vasc Br ; 3: Heparin-induced thrombocytopenia and warfarin-induced skin necrosis: a case report. An Bras Dermatol ; Late-onset warfarin-induced skin necrosis: case report and review of the literature.

Am J Hematol ; Late-onset warfarin necrosis. Australas J Dermatol ; Schenone H. Rev Med Chile ; Informe de un caso. Rev Alergia Mex ; Comparison of colchicine, dapsone, triamcinolone, and diphenhydramine therapy for the treatment of brown recluse spider envenomation: a double-blind, controlled study in a rabbit model.

Arch Dermatol ; Sams H. Necrotic arachnidism. J Am Acad Dermatol ; En Estudio de la incapacidad laboral por enfermedades cardiovasculatorias. Disponible en internet. Santos D, Carline T. Examination of the lower limb in high risk patients. J Tissue Viability ; Ghirlanda G, Citterio F.

Lower limb ischemia. Rays ; Creager M, Dzau V. Enfermedades vasculares de las extremidades. En: Harrison's. Principios de Medicina Interna. Editado por Anthony Fauci, et al. I, pag. Diabetic microangiopathy: physiopathological, clinical and therapeutic aspects. Minerva Endocrinol ; Low-intensity laser irradiation improves skin circulation in patients with diabetic microangiopathy. Diabetes Care ; Ecthyma gangrenosum without bacteremia. Arch Intern Med ; Ecthyma gangrenosum: report of clinical, histopathologic and bacteriologic aspects of eight cases.

Zomorrodi A, Wald ER. Ecthyma gangrenosum: considerations in a previously healthy child. Pediatr Infect Dis J ; Ecthyma gangrenosum caused by Pseudomonas stutzeri with bacteraemia and systemic vascularitis. Rev Med Interne ; Hock C. Disseminated intravascular coagulation: old disease, new hope. Br Med J ; Bakhshi S. Diagnosis and treatment of disseminated intravascular coagulation. Indian Pediatr ; Med Clin Barc.

Arvan M, Brodell R. A palpable clue to vasculitis. Post-graduate Medicine On-line ; 3. Fiorentino D. Cutaneous vasculitis. Am J Dermopathol ; Kerk N, Goerge T. Livedoid vasculopathy - current aspects of diagnosis and treatment of cutaneous infarction. J Dtsch Dermatol Ges ; Brun-Buisson C. The therapeutic approach to necrotizing fasciitis. Ann Dermatol Venereol ; Assessing the relationship between the use of nonsteroidal antiinfammatory drugs and necrotizing fasciitis caused by group A streptococcus.

Medicine Baltimore ; Fulminant group A streptococcal necrotizing fasciitis: Clinical and pathologic findings in 7 patients. Howie WO. Anesthetic implications of necrotizing fasceitis. AANA J ; Phentolamine use in a neonate for the prevention of dermal necrosis caused by dopamine: a case report. J Perinatol ; Molgo M, Naranjo M. Necrosis periumbilical secundaria a droga vasoactiva. Del Giudice P.

Cutaneous complications of intravenous drug abuse. Br J Dermatol ; Recibido el 5 de septiembre de , aceptado el 11 de noviembre de

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