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Ischaemic Fasciitis: A Very Rare Entity with Unusual Presentation
- Source :
- Journal of Clinical and Diagnostic Research, Vol 7, Iss 12, Pp 2952-2953 (2013)
- Publication Year :
- 2013
- Publisher :
- JCDR Research and Publications Private Limited, 2013.
-
Abstract
- We are reporting a case of ischaemic fasciitis which occurred in a 55-year-old female with no debilitating or long bed ridden history. She presented with a large swelling over left gluteal region. On evaluation, swelling was found to be of size, 5x5 cm, slightly tender and with induration. The operative findings led to a probable diagnosis of a calcified lesion, due to its hard consistency. However, the microscopic picture was typical of ischaemic fasciitis, because of its characteristic central necrosis, vascular and atypical fibroblastic proliferations. Also seen was presence of foreign body giant cell reactions, inflammatory cells and extravasated RBCs. Ischaemic fasciitis is a very rare pseudo sarcomatous proliferation of atypical fibroblasts, which has been described to be located over bony protuberances and said to develop most often in immobile elderly or debilitated patients. Recognition of this distinct entity as a reactive process, mostly associated with debilitation is rare in occurrence.
- Subjects :
- Foreign-body giant cell
Pathology
medicine.medical_specialty
atypical fibroblast
business.industry
Clinical Biochemistry
lcsh:R
Rare entity
lcsh:Medicine
Case Report
General Medicine
Probable diagnosis
Ischaemic fasciitis
Central necrosis
ischaemic fasciitis
Bed-ridden
Medicine
Left gluteal region
Presentation (obstetrics)
business
Subjects
Details
- Language :
- English
- Volume :
- 7
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical and Diagnostic Research
- Accession number :
- edsair.doi.dedup.....07968b37b7f0428d776d09f0556bf05a