Ischemic Fasciitis



Ischemic Fasciitis


Elizabeth A. Montgomery, MD









Gross photograph of ischemic fasciitis shows subcutaneous fat with hemorrhage, whitish fibrous tissue, and zonal necrosis.






Hematoxylin & eosin shows a zone of fibrinoid necrosis image and an area with vessels and fibroblasts image.


TERMINOLOGY


Synonyms



  • Atypical decubital fibroplasia


Definitions



  • Pseudosarcomatous proliferation composed of zones of fat and fibrinoid necrosis with ingrowth of capillaries, reactive fibroblasts, and myofibroblasts



    • Initially described as tumefactive pressure sore arising over bony prominences in debilitated patients


    • May also arise in other locations in nondebilitated persons


CLINICAL ISSUES


Epidemiology



  • Incidence



    • Rare


  • Age



    • Mean: 8th decade



      • Occasionally in younger adult patients


  • Gender



    • No predominance


Site



  • Usually around limb girdles and sacral region

Jul 9, 2016 | Posted by in PATHOLOGY & LABORATORY MEDICINE | Comments Off on Ischemic Fasciitis
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