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Bullae Due to Pressure-Reply

Bullae Due to Pressure-Reply This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.— Dr. Voron's comments are greatly appreciated and point out another important cause of bullae in the comatose patient, namely pressure necrosis of skin. However, there were two reasons for excluding this possibility in our patient and for considering the bullous lesions to be "spontaneous." First, the absence of sweat gland necrosis in the premortem skin biopsy specimen is important, as Dr. Voron notes. Second, and not clearly stated in our description of the patient, the lesions over the chest were not in apposition to those on the arm. Because of their location, in fact, we did not believe that the pathogenesis of all the bullae seen could be related to this cause. Therefore, we stand by our interpretation that there is a suggestive association between the infection and the appearance of bullae in this patient. Further clinical observations may or may not support this hypothesis; however, this http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Bullae Due to Pressure-Reply

Keusch, Gerald T.
Archives of Dermatology , Volume 111 (4) – Apr 1, 1975
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Bullae Due to Pressure-Reply

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.— Dr. Voron's comments are greatly appreciated and point out another important cause of bullae in the comatose patient, namely pressure necrosis of skin. However, there were two reasons for excluding this possibility in our patient and for considering the bullous lesions to be "spontaneous." First, the absence of...
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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1975.01630160118026
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.— Dr. Voron's comments are greatly appreciated and point out another important cause of bullae in the comatose patient, namely pressure necrosis of skin. However, there were two reasons for excluding this possibility in our patient and for considering the bullous lesions to be "spontaneous." First, the absence of sweat gland necrosis in the premortem skin biopsy specimen is important, as Dr. Voron notes. Second, and not clearly stated in our description of the patient, the lesions over the chest were not in apposition to those on the arm. Because of their location, in fact, we did not believe that the pathogenesis of all the bullae seen could be related to this cause. Therefore, we stand by our interpretation that there is a suggestive association between the infection and the appearance of bullae in this patient. Further clinical observations may or may not support this hypothesis; however, this

Journal

Archives of Dermatology – American Medical Association

Published: Apr 1, 1975

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