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Transposition Flap for Cutaneous Lesion Coverage in Dermatomyositis

Journal of Wound Management and Research 2020년 16권 3호 p.187 ~ 192
배재현, 전동근, 김지남, 최현곤, 신동혁, 이명철,
소속 상세정보
배재현 ( Bae Jae-Hyun ) - Konkuk University Medical Center Department of Plastic and Reconstructive Surgery
전동근 ( Jun Dong-Keun ) - Konkuk University Medical Center Department of Plastic and Reconstructive Surgery
김지남 ( Kim Jee-Nam ) - Konkuk University Medical Center Department of Plastic and Reconstructive Surgery
최현곤 ( Choi Hyun-Gon ) - Konkuk University Medical Center Department of Plastic and Reconstructive Surgery
신동혁 ( Shin Dong-Hyeok ) - Konkuk University Medical Center Department of Plastic and Reconstructive Surgery
이명철 ( Lee Myung-Chul ) - Konkuk University Medical Center Department of Plastic and Reconstructive Surgery

Abstract


Dermatomyositis (DM) is an autoimmune inflammatory myopathy with some cutaneous manifestations. We present the case of a patient with a bone-depth skin ulceration on the elbow that was well healed with a transposition flap using a dorsal interosseous artery perforator. A 56-year-old man reported difficulties when climbing stairs and diffuse pain of unclear origin throughout his body that started 2 months previously. The patient was diagnosed with DM, and the department of plastic and reconstructive surgery was consulted for the management of an ulcerative skin lesion on the left elbow. The dorsal interosseous artery was first detected by vascular Doppler ultrasonography, and a transposition flap was designed including the pedicle. The flap was transposed to cover the bone exposure over the olecranon. At 4 weeks postoperatively, complete healing of the wound was observed without complications, and the patient had full range of motion of the elbow without pain. Despite major developments in the medical treatment of DM, ulcerative cutaneous lesions remain difficult to treat. Our experience suggests that the use of a transposition flap including the dorsal interosseous artery is suitable for the treatment of ulcerative lesions around the elbow in DM patients.

키워드

Dermatomyositis; Elbow joint; Pedicled flap

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