CASE REPORT
Cutaneous and subcutaneous abdominal necrosis in a morbidly obese patient – a case report
More details
Hide details
1
Department of Internal Medicine, Medical University, Lublin, Poland
2
Department of Dermatology, Venereology, and Pediatric Dermatology, Medical University, Lublin, Poland
Corresponding author
Andrzej Prystupa
Department of Internal Medicine,
Medical University, Staszica 16, 20-081 Lublin, Poland.
J Pre Clin Clin Res. 2009;3(1):67-69
KEYWORDS
ABSTRACT
Obesity leads to many health problems; it is a well-known risk factor for type 2 diabetes, hyperlipidaemia, arterial hypertension, cardiovascular complications as well as skin infections. A 57-year-old woman was addmited to the Department of Internal Medicine because of type 2 diabetes mellitus, morbid obesity, and deep cutaneous and subcutaneous abdominal necrosis. The patient underwent local necrectomy - the removal of necrotic deep cutaneous and subcutaneous tissue. Despite intensive pharmacoteraphy, the patient died suddenly on the eighth day after hospitalization.
REFERENCES (15)
1.
International Federation for the Surgery of Obesity. Statement on morbid obesity and its treatment. Obes Surg 1997, 7, 40-41.
2.
Scheinfeld JD: Obesity and dermatology. Clin Dermatol 2004, 22, 303-309.
3.
Yosipovitch G, DeVore A, Dawn A: J Am Acad Dermatol 2007, 56, 901-916.
4.
Yosipowitch G, Tur E, Cohen O, Rusecki Y: Skin surface pH in intertriginous areas in NIDDM patients. Diabetes Care 1993, 16, 560-563.
5.
Moussa AM, Soliman MM, Hamza MR: Obesity and skin diseases. J Egypt Public Health Assoc 1977, 52, 65-74.
6.
Enser M, Avery NC: Mechanical and chemical properties of the skin and its collagen from lean and obese-hyperglycaemic (ob/ob) mice. Diabetologia 1984, 27, 44-49.
7.
Schissel DJ, Hivnor C, Elston DM: Elephantiasis nostras verrucosa. Cutis 1998, 62, 77-80.
8.
Azam M, Saboorian H, Bieligk S, Smith T, Molberg K: Cutaneous angiosarcoma complicating morbid obesity. Arch Pathol Lab Med 2001, 125, 531-533.
9.
de Jongh RT, Sern EH, Ijzerman RG, de Vries G, Stehouwer CD: Impaired microvascular function in obesity. Circulation 2004, 109, 2529-2535.
10.
Pittas AG, Nandini AJ, Greenberg AS: Adipocytokines and Insulin Resistance. J Clin Endocrinol Metab 2004, 89, 447-452.
11.
Daus AD, Hafez ES: Candida albicans in women. Nurs Res 1975, 24, 430-433.
12.
Ross EV, Baxter DL Jr: Widespread Candida folliculitis in a nontoxic patient. Cutis 1992, 49, 241-243.
13.
Montes LF, Dobson H, Dodge BG, Knowles WR: Erythrasma and diabetes mellitus. Arch Dermatol 1969, 99, 674-680.
14.
Lecerf JM, Reitz C, de Chasteigner A: Evaluation of discomfort and complications in a population of 18,102 patients overweight or obese patients. Presse Med 2003, 32, 689-695.
15.
Cheng S, Chong L: A prospective epidemiological study on tinea pedis and onychomycosis in Hong Kong. Chin Med J 2002, 115, 860-865.