ABSTRACT
A 10-month-old male patient was seen with a nodular lesion on his left upper arm which developed several months after BCG vaccination. Physical examination revealed a bean sized, irregular surfaced, erythematous pustular nodule on the left upper arm at a place different from the vaccination site. Histopathologic examination of the nodule on the left upper arm showed tubercles composed of mononuclear cells, epithelioid cells and langhans type giant cells in the dermis. Caseation necrosis within the typical tubercles was noted. Prominent improvement of the lesion was observed 4 months after oral medication with isoniazid and rifampicin.
Subject(s)
Humans , Infant , Male , Arm , Dermis , Epithelioid Cells , Giant Cells, Langhans , Hypogonadism , Isoniazid , Mitochondrial Diseases , Mycobacterium bovis , Necrosis , Ophthalmoplegia , Physical Examination , Rifampin , Tuberculosis, Cutaneous , VaccinationABSTRACT
The skin over the nose is less mobile for primary closure of defects. In addition to skin graft and secondary intention healing, there are various local flap techniques and their modifications for the reconstruction of nasal defects. Imprecise engineering of wound repair methods and contracture can lead to twisting of the nose and distortion of surrounding anatomic structures such as the nasal ala and paranasal sulcus. The skin defects on the nasal dorsum were reconstructed with a modified bilateral rombic flap. In our case, there were no significant complications and the final result was satisfactory in both functional and cosmetic aspects. Through our experience, we can confirm that the modified bilateral rhombic flap can reconstruct defects on the center area of the nasal dorsum effectively and in a single stage.
Subject(s)
Contracture , Intention , Nose , Skin , Transplants , Wounds and InjuriesABSTRACT
No abstract available.