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Indian Journal of Dermatology
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Year : 2013  |  Volume : 58  |  Issue : 6  |  Page : 492
A strange ulcer


Department of Clinical Medicine and Immunological Sciences, Section of Dermatology University of Siena, Siena, Italy

Date of Web Publication17-Oct-2013

Correspondence Address:
S Poggiali
Department Clinical Medicine and Immunological Sciences, Section of Dermatology, University of Siena, Viale Bracci 1, 53100, Siena
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.119974

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How to cite this article:
Bilenchi R, Poggiali S, Feci L, De Paola M, Sansica P, Fimiani M. A strange ulcer. Indian J Dermatol 2013;58:492

How to cite this URL:
Bilenchi R, Poggiali S, Feci L, De Paola M, Sansica P, Fimiani M. A strange ulcer. Indian J Dermatol [serial online] 2013 [cited 2021 Jul 23];58:492. Available from: https://www.e-ijd.org/text.asp?2013/58/6/492/119974



   Case Presentation Top


A 13-year-old girl presented with a 3 cm deep necrotic wound on her lower back [Figure 1]. One week before observation, she had begun to complain of flu-like symptoms and achiness. Three days before observation, she was falling in and out of consciousness. When her condition worsened, she was rushed to the emergency room. A lumbar puncture was performed, meningococcal meningitis was diagnosed and she was transferred to the Infectious Disease Ward of our hospital to start antibiotic therapy.
Figure 1: Our patient presenting with a 3 cm deep necrotic wound on her lower back

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Her medical history was unremarkable. She was otherwise healthy and had never suffered from allergies.

Patch tests performed with 1%, 5%, and 10% PVP-I in Vaseline resulted negative. Circulating IgE levels were within normal limits.

The cutaneous lesion was treated with topical antibiotics (mupirocin cream) and clostridiopeptidase A ointment. At the third week follow-up, the lesions had healed with minimal reliquates.


   Question Top


What is the diagnosis?



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   References Top

1.Chambers HF. Miscellaneous antimicrobial agents; disinfectants, antiseptics and sterilants. In: Katzung BG, editor. Basic and Clinical Pharmacology. 8 th ed. New York: Lange Medical Books/McGraw-Hill; 2001. p. 852-60.  Back to cited text no. 1
    
2.Lachapelle JM. Allergic contact dermatitis from povidone-iodine: A re-evaluation study. Contact Dermatitis 2005;52:9-10.  Back to cited text no. 2
    
3.Murthy MB, Krishnamurthy B. Severe irritant contact dermatitis induced by povidone iodine solution. Indian J Pharmacol 2009;41:199-200.  Back to cited text no. 3
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4.Kara A, Tezer H, Devrim I, Cengiz AB, Secmeer G. Chemical burn: A risk with outdated povidone iodine. Pediatr Dermatol 2007;24:449-50.  Back to cited text no. 4
    
5.Liu FC, Liou JT, Hui YL, Hsu JC, Yang CY, Yu HP, et al. Chemical burn caused by povidone-iodine alcohol solution: A case report. Acta Anaesthesiol Sin 2003;41:93-6.  Back to cited text no. 5
    


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