Wade, RG orcid.org/0000-0001-8365-6547, Igali, L and Figus, A (2016) Dupuytren Disease Infiltrating a Full-Thickness Skin Graft. Journal of Hand Surgery, 41 (8). e235-e238. ISSN 0266-7681
Abstract
Although the role of the skin in the development and propagation of Dupuytren disease remains unclear, dermofasciectomy and full-thickness skin grafting (FTSG) appears to delay recurrence. In 2011, a 71-year-old, left-handed man presented with recurrent Dupuytren disease in the dominant hand. In 1991, he originally underwent a primary dermofasciectomy and FTSG for Dupuytren disease involving the palmar skin. Twenty years later, the left middle finger was drawn into flexion by a recurrent cord, and the old graft and adjacent palmar skin were clinically involved by fibromatosis. We performed a revision dermofasciectomy and FTSG. Microscopic analysis of the excised graft demonstrated dense infiltration of the entire skin graft by Dupuytren disease, with areas of active and burnt-out fibromatosis distinct from hypertrophic scarring. This report of Dupuytren fibromatosis infiltrating a skin graft raises questions about the pathophysiology of Dupuytren disease.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016 by the American Society for Surgery of the Hand. This is an author produced version of a paper published in The Journal of Hand Surgery. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Dupuytren; fibromatosis; dermofasciectomy; skin; recurrence |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 05 Oct 2016 15:41 |
Last Modified: | 03 Nov 2017 04:59 |
Published Version: | http://dx.doi.org/10.1016/j.jhsa.2016.04.011 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.jhsa.2016.04.011 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:105540 |