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http://dx.doi.org/10.1001/archderm.131.9.990DOI Listing

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  • Necrobiosis Lipoidica (NL) is a rare skin condition that causes yellowish-brown plaques, mostly affecting middle-aged women on their shins, and is marked by inflammation and collagen degeneration.
  • A study conducted on 17 NL patients treated with photodynamic therapy (PDT) from 2013 to 2023 showed varied treatment outcomes, with 29% achieving complete lesion clearance and 59% experiencing partial clearance.
  • The findings highlight the need for personalized treatment approaches and standardized protocols to improve the effectiveness of PDT for NL, as current evidence in literature is limited.
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Osteomyelitis, a significant global healthcare issue, often results from infections related to open fractures, surgery, or conditions like diabetic foot ulcers. This report describes a case of osteomyelitis in a 62-year-old female with various pre-existing health conditions. The patient initially presented with swelling, pain, and difficulty walking in the right lower extremity, accompanied by systemic symptoms.

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  • Skin ulcers can be difficult to diagnose, especially when they are related to other health issues like autoimmune and gastrointestinal diseases, and simple explanations might not always apply.
  • A case involving a 70-year-old male revealed that what was thought to be a skin condition related to Crohn's disease was actually basal cell carcinoma, which worsened and led to amputation.
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Stepwise surgical technique used to treat recalcitrant pretibial ulcerations: a case series.

Wounds

January 2023

Medical Director, Global Medical Affairs, Integra LifeSciences, Princeton, NJ.

Introduction: Pretibial lacerations resulting from trauma may evolve into chronic wounds with worsening infections without treatment. There is a limited amount of literature on the presentation and treatment of recalcitrant pretibial ulcerations.

Objective: This study aims to provide a review of surgical treatment methodology that successfully managed recalcitrant pretibial ulcerations.

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Purpose: Report of a successful case of endovascular recanalization of an occluded superficial femoral artery (SFA) using Fiber Optic RealShape (FORS) technology.

Case Report: A 79-year-old male was referred for evaluation of multiple ischemic pretibial ulcers of the right lower extremity. Computed tomography-angiography (CTA) imaging confirmed significant stenosis of the right common femoral artery (CFA) and an occlusion of the SFA from its origin to the Hunter's canal.

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