title: Reconstructive procedure of lower lip defect due to ecthyma gangrenosum--a rare complication of acute lymphoblastic leukemia.
abstract: Ecthyma gangrenosum is a rare invasive cutaneous infection mostly caused by Pseudomonas aeruginosa in immunosuppressed patients, especially during neutropenic states. Embolic lesions usually accompanying with septicemia of P. aeruginosa are typically painless, round, and centrally necrotic with a surrounding erythematous halo. Facial involvement occurred only in 6% of the patients, which may result to complicated defects for reconstruction. In this article, we aimed to present a case with relapse of acute lymphoblastic leukemia presented to our clinic with 50% defect of the lower lip due to ecthyma gangrenosum and its late-term reconstruction.
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, Istanbul, Turkey. oozozay@yahoo.com
authors.forename: Özay
authors.initials: Ö
authors.lastname: Özkaya
authors.forename: İlker
authors.initials: İ
authors.lastname: Üsçetin
authors.forename: Onur
authors.initials: O
authors.lastname: Egemen
authors.forename: Derya
authors.initials: D
authors.lastname: Bingöl
authors.forename: Mithat
authors.initials: M
authors.lastname: Akan
mesh_terms: D002648:Child; D005260:Female; D005734:Gangrene / Q000382:microbiology* / Q000601:surgery*; D006801:Humans; D008047:Lip Diseases / Q000382:microbiology* / Q000601:surgery*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications*; D011552:Pseudomonas Infections / Q000175:diagnosis / Q000601:surgery*; D011550:Pseudomonas aeruginosa