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R. Güller (1968)
[Progressive postoperative gangrene and ulcerative dermatitis].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete, 19 9
P. Hutchinson, R. Summerly, L. Lawson (1976)
Postoperative progressive gangrene: a reminderxsBritish Journal of Dermatology, 94
Güller R (1968)
Postoperative progressive Gangr�n und Dermatitis ulcerosaHautarzt, 19
H. Perry, R. Winkelmann (1972)
Bullous pyoderma gangrenosum and leukemia.Archives of dermatology, 106 6
C. Audebert (1981)
La gangrène post-opératoire progressive de la peau.Annales De Dermatologie Et De Venereologie, 108
Y. Shalev, A. Berrebi, L. Green, S. Levin, A. Frumkin, N. Hurwitz, Z. Bentwich (1984)
Progressive cutaneous herpes simplex infection in acute myeloblastic leukemia. Successful treatment with interferon and cytarabine.Archives of dermatology, 120 7
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
Archives of Dermatology – American Medical Association
Published: Apr 1, 1985
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