Severe postoperative wound healing disturbance in a patient with alpha‐1‐antitrypsin deficiency: the impact of augmentation therapy
Identifieur interne : 000F26 ( Main/Exploration ); précédent : 000F25; suivant : 000F27Severe postoperative wound healing disturbance in a patient with alpha‐1‐antitrypsin deficiency: the impact of augmentation therapy
Auteurs : Marionna Cathomas [Suisse] ; Alexandra Schüller [Suisse] ; Daniel Candinas [Suisse] ; Roman Inglin [Suisse]Source :
- International Wound Journal [ 1742-4801 ] ; 2015-10.
Abstract
Wound healing disturbance is a common complication following surgery, but the underlying cause sometimes remains elusive. A 50‐year‐old Caucasian male developed an initially misunderstood severe wound healing disturbance following colon and abdominal wall surgery. An untreated alpha‐1‐antitrypsin (AAT) deficiency in the patient's medical history, known since 20 years and clinically apparent as a mild to moderate chronic obstructive pulmonary disease, was eventually found to be at its origin. Further clinical work‐up showed AAT serum levels below 30% of the lower reference value; phenotype testing showed a ZZ phenotype and a biopsy taken from the wound area showed the characteristic, disease‐related histological pattern of necrotising panniculitits. Augmentation therapy with plasma AAT was initiated and within a few weeks, rapid and adequate would healing was observed. AAT deficiency is an uncommon but clinically significant, possible cause of wound healing disturbances. An augmentation therapy ought to be considered in affected patients during the perioperative period.
Url:
DOI: 10.1111/iwj.12419
Affiliations:
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A 50‐year‐old Caucasian male developed an initially misunderstood severe wound healing disturbance following colon and abdominal wall surgery. An untreated alpha‐1‐antitrypsin (AAT) deficiency in the patient's medical history, known since 20 years and clinically apparent as a mild to moderate chronic obstructive pulmonary disease, was eventually found to be at its origin. Further clinical work‐up showed AAT serum levels below 30% of the lower reference value; phenotype testing showed a ZZ phenotype and a biopsy taken from the wound area showed the characteristic, disease‐related histological pattern of necrotising panniculitits. Augmentation therapy with plasma AAT was initiated and within a few weeks, rapid and adequate would healing was observed. AAT deficiency is an uncommon but clinically significant, possible cause of wound healing disturbances. An augmentation therapy ought to be considered in affected patients during the perioperative period.</div></front></TEI><affiliations><list><country><li>Suisse</li></country><region><li>Canton de Berne</li></region><settlement><li>Berne</li></settlement></list><tree><country name="Suisse"><region name="Canton de Berne"><name sortKey="Cathomas, Marionna" sort="Cathomas, Marionna" uniqKey="Cathomas M" first="Marionna" last="Cathomas">Marionna Cathomas</name></region><name sortKey="Candinas, Daniel" sort="Candinas, Daniel" uniqKey="Candinas D" first="Daniel" last="Candinas">Daniel Candinas</name><name sortKey="Inglin, Roman" sort="Inglin, Roman" uniqKey="Inglin R" first="Roman" last="Inglin">Roman Inglin</name><name sortKey="Inglin, Roman" sort="Inglin, Roman" uniqKey="Inglin R" first="Roman" last="Inglin">Roman Inglin</name><name sortKey="Schuller, Alexandra" sort="Schuller, Alexandra" uniqKey="Schuller A" first="Alexandra" last="Schüller">Alexandra Schüller</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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