Chronic undermining burrowing ulcer
Chronic Undermining Burrowing Ulcer
Chronic Undermining Burrowing Ulcer (pronunciation: kroh-nik uhn-der-mahy-ning bur-oh-ing uhl-ser), also known as Meleney's ulcer, is a rare, progressive dermatological condition characterized by the formation of painful, necrotic ulcers that burrow under the skin.
Etymology
The term "Chronic Undermining Burrowing Ulcer" is derived from its characteristic clinical presentation. The term "chronic" refers to the long-lasting nature of the condition, "undermining" describes the way the ulcer erodes the tissue beneath the skin surface, and "burrowing" refers to the ulcer's tendency to tunnel into the subcutaneous tissue. The condition is also named after Francis E. Meleney, the American surgeon who first described it in 1928.
Symptoms
The primary symptom of a Chronic Undermining Burrowing Ulcer is a painful, necrotic ulcer that extends under the skin. Other symptoms may include fever, malaise, and lymphadenopathy.
Causes
Chronic Undermining Burrowing Ulcers are typically caused by a synergistic polymicrobial infection, often involving both aerobic and anaerobic bacteria. Common pathogens include Streptococcus, Staphylococcus, and Pseudomonas species.
Diagnosis
Diagnosis of Chronic Undermining Burrowing Ulcer is primarily based on clinical examination, patient history, and the exclusion of other ulcerative conditions. Additional diagnostic tests may include bacterial culture and histopathology.
Treatment
Treatment typically involves a combination of surgical debridement, systemic antibiotics, and wound care. In severe cases, skin grafting may be necessary.
Related Terms
External links
- Medical encyclopedia article on Chronic undermining burrowing ulcer
- Wikipedia's article - Chronic undermining burrowing ulcer
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