Pathology
Images
Atlas of dermatopathology
Josef Feit, Hana Jedličková, Günter Burg, Luděk Matyska, Spasoje Radovanovic et al.
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+ Introduction
+ Literature
+ Support
+ Skin biopsy
+ Non-tumorous skin diseases
+ Skin tumors
+ Cysts of the skin and subcutis
+ Soft tissue lesions
+ Some lesions of the oral cavity
+ Dermatovenerology
+ Collection of histological slides by prof. Günter Burg
+ Collection of histological slides by prof. Werner Kempf
+ Collection of histological slides of dr. Ram Chandra Adhikari
Pressure necrosis
Clinical signs
  • pressure sores (decubitus ulcers) occur in immobilized patients due to chronic pressure in tissues overlying bony prominences. The lumbosacral region, greater trochanters and heels are the most often affected areas. Tissue ischemia and neural damage lead to necrosis.
    I. degree — erythema
    II. degree — induration,blisters
    III. degree — shallow ulcers,
    IV. degree — deep necrosis of fat and muscle
    V. degree — bone destruction
    Underlying a small skin defect there can be vast necrosis of deep tissues and proliferation of granulation tissue.
Pictures

Decubitus of the heel: Pressure necrosis, decubitus, heel, Clinical picture (5567)

Examples of decubital ulcerations:

Histology

Epidermal necrosis, subepidermal bulla, vascular proliferations, often secondary inflammation.