Member May: Atypical Ulcers: Forum for Case Presentation and Member Discussion (Networking) (enduring)-Atypical Ulcers - Forum for Case Presentation and Member Discussion

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Video Summary

In summary, the first case involved a woman with a raised lesion and draining openings on her calf. Despite initial treatment with antibiotics and dressings, the wound worsened and became necrotic. After ruling out infection, it was discovered that she had a history of needing steroids for a previous wound, which led to the diagnosis of pyoderma. Treatment with topical tacrolimus and a steroid taper resulted in healing. In the second case, a woman developed ulcers on her legs and was initially diagnosed with venous insufficiency. However, the wounds continued to worsen and were later found to be a staph infection. Treatment with topical gentamicin and oral kefirlex resulted in rapid healing. The third case involved a woman with chronic wounds on her leg and a history of eczema. Despite negative biopsy results, she was eventually diagnosed with cutaneous lymphoma. Treatment with radiation therapy led to complete healing. The fourth case involved an elderly man with sinus tracts and draining wounds on his hip following a hip replacement surgery. Steroid therapy successfully treated the inflammation and allowed the wounds to heal. The fifth case involved a neurosurgeon with infection and a raised boil on his lumbar surgery incision. After multiple failed attempts to close the wound, opening it up and treating it as an inflammatory wound with a wound back led to successful healing.

Keywords

pyoderma

ulcers

staph infection

cutaneous lymphoma

steroid therapy

inflammatory wound

sinus tracts

neurosurgeon