RESUMO
The diagnosis of pyoderma gangrenosum is a difficult one to make because of the condition's ability to mimic other ulcerative lesions of the foot and its lack of specific laboratory and pathologic findings. A high index of clinical suspicion can lead to a definitive diagnosis. This article presents a case report and a discussion of the evaluation and management of pyoderma gangrenosum.
Assuntos
Dermatoses do Pé , Pioderma Gangrenoso , Corticosteroides/uso terapêutico , Idoso , Feminino , Pé/patologia , Dermatoses do Pé/diagnóstico , Dermatoses do Pé/tratamento farmacológico , Dermatoses do Pé/patologia , Humanos , Pioderma Gangrenoso/diagnóstico , Pioderma Gangrenoso/tratamento farmacológico , Pioderma Gangrenoso/patologiaRESUMO
Utilization of implants to aid in oral reconstruction after partial mandibular resection entails coordination of multiple health care co-therapists as well as funding sources for the underprivileged. An illustrative case emphasizes these points. Ablation of a squamous cell carcinoma of the tongue resulted in a partial mandibulectomy, as well as multiple sensory, physical and psychosocial deficits. Continuity of the mandible was restored with a vascularized iliac crest bone graft. (Fig. 1) Total functional restoration, however, was only possible with implant supported overdenture prostheses. (Figs. 3-5).