Publication: Spina bifidalı hastada ağır nöropatik ülser ve fungal dermatit
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Date
2013-10-01
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Abstract
Kaudal nöral açıklığın yanlış kapanması spina bifida (SB) olarak
bilinen vertebral ark defektlerini oluşturur. Sıklığı 4-5/10.000 canlı
doğumdur. Medulla spinalisin kese şeklinde dışarı çıktığı spina
bifida sistika nöral tüp defektinin düzeyi ile uyum gösteren ağır
nörolojik kusurlara yol açar. Duyu kaybı, paralizi, barsak ve mesane
fonksiyon kaybı sıktır. Hastaların paraliziye bağlı postürlerinden
kaynaklanan bası ülserleri ve cilt lezyonları sık rastlanan tıbbi
problemlere odaklanıldığında gözden kaçabilir ve önemli sorunlara
yol açabilir. Bu yazıda idrar yolu enfeksiyonu ve hipertansiyon
nedeni ile başvuran, fizik muayenesinde gluteal bölgelerde
yaygın dermatiti ve sağ dizinde derin bası ülseri saptanan SB’li
on bir yaşında bir erkek olgu sunulmuş, hastaların uzun dönem
izlemlerinde ortaya çıkabilen ve yaşam kalitesini düşüren lokal
komplikasyonlara dikkat çekilmek istenmiştir. (Haseki T›p Bülteni
2013; 51: 186-9)
Spina bifida (SB) is a congenital abnormality characterized by incomplete closure of the neural tube early in gestation. The incidence of SB is 4-5 per 10000 live births. In SB sistica, the spinal cord protrudes through the spinal column, resulting in nerve damage depending on the location and the size of the spinal lesion, and physical disabilities including lower limb paralysis and disrupted bladder or bowel function. Pressure ulcers due to the position of the patient and the skin lesions may develop and be underdiagnosed while the most common and severe medical problems are focused on. In this case report, we present an eleven-year-old SB patient who was admitted with urinary tract infection and hypertension and had bilateral gluteal dermatitis and severe pressure ulcer on his right knee. We aimed to draw attention to local complications which may appear during followup throughout life and decrease the quality of life. (The Medical Bulletin of Haseki 2013; 51: 186-9)
Spina bifida (SB) is a congenital abnormality characterized by incomplete closure of the neural tube early in gestation. The incidence of SB is 4-5 per 10000 live births. In SB sistica, the spinal cord protrudes through the spinal column, resulting in nerve damage depending on the location and the size of the spinal lesion, and physical disabilities including lower limb paralysis and disrupted bladder or bowel function. Pressure ulcers due to the position of the patient and the skin lesions may develop and be underdiagnosed while the most common and severe medical problems are focused on. In this case report, we present an eleven-year-old SB patient who was admitted with urinary tract infection and hypertension and had bilateral gluteal dermatitis and severe pressure ulcer on his right knee. We aimed to draw attention to local complications which may appear during followup throughout life and decrease the quality of life. (The Medical Bulletin of Haseki 2013; 51: 186-9)
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Keywords
Spina bifida, bası ülseri, dermatit, pressure ulcer, dermatitis
Citation
Aksu Ç., ÇİÇEK DENİZ N., YILDIZ N., YÜCELTEN A. D., ALPAY H., "Spina bifidalı hastada ağır nöropatik ülser ve fungal dermatit.", HASEKI TIP BULTENI, cilt.51, sa.4, ss.186-189, 2013