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Progressive Cutaneous Herpes Simplex or Postoperative Progressive Gangrene

Progressive Cutaneous Herpes Simplex or Postoperative Progressive Gangrene Abstract To the Editor.— In the July 1984 issue, Shalev et al1 described a rapidly spreading superficial ulceration following surgery for acute appendicitis in a patient with acute myeloblastic leukemia.The clinical aspect of the lesion as shown in Fig 3 suggests postoperative progressive gangrene (PPG). It closely resembles the illustrations in the article by Hutchinson et al2 on PPG. A rare condition, PPG is also known as Meleney's synergistic gangrene, which is characterized by a superficial spreading ulceration following an operation. The disorder usually involves the chest or the abdominal wall and begins on the surgical scar, as in the patient described by Shalev et al. It is associated with fever. If the disease is not controlled, deterioration of the patient's general status may lead to death.The cause and treatment are matter for debate. Hutchinson et al,2 assuming that microaerophilic streptococci were responsible for the PPG, References 1. Shalev Y, Berrebi A, Green L, et al: Progressive cutaneous herpes simplex infection in acute myeloblastic leukemia: Successful treatment with interferon and cytarabine . Arch Dermatol 1984;120:922-926.Crossref 2. Hutchinson PE, Summerly R, Lawson LJ: Postoperative progressive gangrene: A reminder . Br J Dermatol 1976;94:89-95Crossref 3. Güller R: Postoperative progressive Gangrän und Dermatitis ulcerosa . Hautarzt 1968;19:408-422. 4. Touraine A, Duperrat R: La gangrene post-operatoire progressive de la peau Ann Dermatol Venereol 1939;10:257-285. 5. Perry HO, Winkelmann RK: Bullous pyoderma gangrenosum and leukemia . Arch Dermatol 1972;106:901-905.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Progressive Cutaneous Herpes Simplex or Postoperative Progressive Gangrene

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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1985.01660040023003
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— In the July 1984 issue, Shalev et al1 described a rapidly spreading superficial ulceration following surgery for acute appendicitis in a patient with acute myeloblastic leukemia.The clinical aspect of the lesion as shown in Fig 3 suggests postoperative progressive gangrene (PPG). It closely resembles the illustrations in the article by Hutchinson et al2 on PPG. A rare condition, PPG is also known as Meleney's synergistic gangrene, which is characterized by a superficial spreading ulceration following an operation. The disorder usually involves the chest or the abdominal wall and begins on the surgical scar, as in the patient described by Shalev et al. It is associated with fever. If the disease is not controlled, deterioration of the patient's general status may lead to death.The cause and treatment are matter for debate. Hutchinson et al,2 assuming that microaerophilic streptococci were responsible for the PPG, References 1. Shalev Y, Berrebi A, Green L, et al: Progressive cutaneous herpes simplex infection in acute myeloblastic leukemia: Successful treatment with interferon and cytarabine . Arch Dermatol 1984;120:922-926.Crossref 2. Hutchinson PE, Summerly R, Lawson LJ: Postoperative progressive gangrene: A reminder . Br J Dermatol 1976;94:89-95Crossref 3. Güller R: Postoperative progressive Gangrän und Dermatitis ulcerosa . Hautarzt 1968;19:408-422. 4. Touraine A, Duperrat R: La gangrene post-operatoire progressive de la peau Ann Dermatol Venereol 1939;10:257-285. 5. Perry HO, Winkelmann RK: Bullous pyoderma gangrenosum and leukemia . Arch Dermatol 1972;106:901-905.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Apr 1, 1985

References