Infiltrative Squamocellular Carcinoma of the Forearm in a Patient with Uncontrolled Psoriasis: Impact on Microsurgical Flap Viability and Microcirculation
Psoriasis vulgaris incidence in Italy is 2%–3%, 0.1% with severe forms with systemic erythema, risk of skin cancer, and hypercoagulation disorders. These patients are a challenging cohort for free-tissue transfer reconstructions. We present a 47-year-old woman with a history of generalized uncontrol...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Dermatology and Dermatologic Surgery |
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| Online Access: | https://journals.lww.com/10.4103/jdds.jdds_56_23 |
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| author | Tamburello Sara Guido Mauro Francesco Mori Menichini Giulio |
| author_facet | Tamburello Sara Guido Mauro Francesco Mori Menichini Giulio |
| author_sort | Tamburello Sara |
| collection | DOAJ |
| description | Psoriasis vulgaris incidence in Italy is 2%–3%, 0.1% with severe forms with systemic erythema, risk of skin cancer, and hypercoagulation disorders. These patients are a challenging cohort for free-tissue transfer reconstructions. We present a 47-year-old woman with a history of generalized uncontrolled pustular psoriasis with an infiltrative squamocellular carcinoma of the forearm of 5 cm × 3 cm. We offered a reconstructive approach with vascularized fibular intercalary reconstruction of the ulna and a combined anterolateral thigh flap for the soft-tissue defect. The surgical outcome was complicated by incoercible vasospasm, arterial thrombosis, and free-flap failure. We decided to review the literature and formulate a therapeutic protocol to tackle the critical aspects of psoriasis impacting on free-flap viability before reintervention. Eventually, the outcome was successful. No article was available putting in relation to these two aspects. We believe this is the first article of its kind and would be a starting point for further studies. |
| format | Article |
| id | doaj-art-ec93d3743878462f978c16a788d53cd3 |
| institution | Kabale University |
| issn | 2352-2410 2352-2429 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Dermatology and Dermatologic Surgery |
| spelling | doaj-art-ec93d3743878462f978c16a788d53cd32025-01-07T06:53:12ZengWolters Kluwer Medknow PublicationsJournal of Dermatology and Dermatologic Surgery2352-24102352-24292024-12-0128211211510.4103/jdds.jdds_56_23Infiltrative Squamocellular Carcinoma of the Forearm in a Patient with Uncontrolled Psoriasis: Impact on Microsurgical Flap Viability and MicrocirculationTamburello SaraGuido MauroFrancesco MoriMenichini GiulioPsoriasis vulgaris incidence in Italy is 2%–3%, 0.1% with severe forms with systemic erythema, risk of skin cancer, and hypercoagulation disorders. These patients are a challenging cohort for free-tissue transfer reconstructions. We present a 47-year-old woman with a history of generalized uncontrolled pustular psoriasis with an infiltrative squamocellular carcinoma of the forearm of 5 cm × 3 cm. We offered a reconstructive approach with vascularized fibular intercalary reconstruction of the ulna and a combined anterolateral thigh flap for the soft-tissue defect. The surgical outcome was complicated by incoercible vasospasm, arterial thrombosis, and free-flap failure. We decided to review the literature and formulate a therapeutic protocol to tackle the critical aspects of psoriasis impacting on free-flap viability before reintervention. Eventually, the outcome was successful. No article was available putting in relation to these two aspects. We believe this is the first article of its kind and would be a starting point for further studies.https://journals.lww.com/10.4103/jdds.jdds_56_23complicationsfree-flapmicrosurgerypsoriasissquamocellular carcinoma |
| spellingShingle | Tamburello Sara Guido Mauro Francesco Mori Menichini Giulio Infiltrative Squamocellular Carcinoma of the Forearm in a Patient with Uncontrolled Psoriasis: Impact on Microsurgical Flap Viability and Microcirculation Journal of Dermatology and Dermatologic Surgery complications free-flap microsurgery psoriasis squamocellular carcinoma |
| title | Infiltrative Squamocellular Carcinoma of the Forearm in a Patient with Uncontrolled Psoriasis: Impact on Microsurgical Flap Viability and Microcirculation |
| title_full | Infiltrative Squamocellular Carcinoma of the Forearm in a Patient with Uncontrolled Psoriasis: Impact on Microsurgical Flap Viability and Microcirculation |
| title_fullStr | Infiltrative Squamocellular Carcinoma of the Forearm in a Patient with Uncontrolled Psoriasis: Impact on Microsurgical Flap Viability and Microcirculation |
| title_full_unstemmed | Infiltrative Squamocellular Carcinoma of the Forearm in a Patient with Uncontrolled Psoriasis: Impact on Microsurgical Flap Viability and Microcirculation |
| title_short | Infiltrative Squamocellular Carcinoma of the Forearm in a Patient with Uncontrolled Psoriasis: Impact on Microsurgical Flap Viability and Microcirculation |
| title_sort | infiltrative squamocellular carcinoma of the forearm in a patient with uncontrolled psoriasis impact on microsurgical flap viability and microcirculation |
| topic | complications free-flap microsurgery psoriasis squamocellular carcinoma |
| url | https://journals.lww.com/10.4103/jdds.jdds_56_23 |
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