Nonhealing ulcer secondary to factor V Leiden mutation and cryofibrinogenemia - 24/08/11
Louisville, Kentucky
Abstract |
Factor V Leiden is the most common genetic thrombophilia in people of European descent, and is important to recognize as it can have significant implications in dermatology. We report a case of a 30-year-old man who presented for evaluation and treatment of a chronic ulceration on the site of his stump following a below the knee amputation which had been performed for non-healing ulcerations. Despite a variety of treatments, his ulcer persisted. He was referred to a dermatologist who performed a biopsy that was interpreted as non-specific, and treatment was started for pyoderma gangrenosum. Further investigation revealed a homozygous factor V Leiden mutation and cryofibrinogenemia. He was tapered off of the methylprednisolone and was improving on stanozolol. He healed well after surgery and no new ulcerations have developed. This case highlights the importance of considering this mutation in a non-healing leg ulcer.
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The pagination of this article was incorrect as originally published (2004:51;S122-S124). Please use the corrected page numbers listed online at http:www.eblue.org, in the corrected table of contents, or in the December 2004 index in future citations. This supplement is made possible through the generous support of Stiefel Laboratories for the American Academy of Dermatology. Presented as a poster exhibit at the American Academy of Dermatology Annual Meeting, San Francisco, March 21-26, 2003. Funding sources: None. Conflicts of interest: None identified. |
Vol 51 - N° 5S
P. S194-S196 - novembre 2004 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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