Postoperative sugillations and necrosis

JDDG Journal der Deutschen Dermatologischen Gesellschaft, vol. 21, pp. 74–76

Abstract

An 81-year-old female patient presented with painful hemorrhagic necrotic and purpuriform macules on the ear helices and lower extremities.She had no systemic symptoms.Two days prior to the onset of the skin lesions, a varicose vein operation had been performed, followed by subcutaneous application of fondaparinux (factor Xa inhibitor).More than 10 years ago, she was diagnosed with follicular lymphoma stage IIIA without bone morrow involvement, which was systemically treated with rituximab and bendamustine and is currently in remission. CLINICAL FINDINGSThe clinical examination revealed extensive hemorrhagic and partially necrotic macules on the ear helices and on both lower extremities (Figures 1a-c).Further physical examination was unremarkable.Laboratory analysis

Authors 6

1. Morna Friederike Schmidt Aachen Department of Dermatology and Allergology

   Universitätsklinikum Aachen · RWTH Aachen University

   Affiliation as printed

   Department of Dermatology and Allergology University Hospital RWTH Aachen Aachen Germany

   Department of Dermatology and Allergology, University Hospital RWTH Aachen, Aachen, Germany

2. Mosaad Megahed Aachen Department of Dermatology and Allergology

   Universitätsklinikum Aachen · RWTH Aachen University

   Affiliation as printed

   Department of Dermatology and Allergology University Hospital RWTH Aachen Aachen Germany

   Department of Dermatology and Allergology, University Hospital RWTH Aachen, Aachen, Germany

3. Theresa Barbara Peeters Aachen Department of Dermatology and Allergology

   Universitätsklinikum Aachen · RWTH Aachen University

   Affiliation as printed

   Department of Dermatology and Allergology University Hospital RWTH Aachen Aachen Germany

   Department of Dermatology and Allergology, University Hospital RWTH Aachen, Aachen, Germany

4. Deniz Gezer Aachen Department of Hematology Oncology Hemostaseology and Stem Cell Transplantation (Med. Clinic IV) Faculty of Medicine Department of Hematology, Oncology Faculty of Medicine

   RWTH Aachen University

   Affiliation as printed

   Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) Germany

   Department of Hematology Oncology Hemostaseology and Stem Cell Transplantation Faculty of Medicine RWTH Aachen University Aachen Germany

   Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD), Germany

   Department of Hematology, Oncology, Hemostaseology, and Stem Cell Transplantation, Faculty of Medicine, RWTH Aachen University, Aachen, Germany

5. David Kluwig Aachen Department of Dermatology and Allergology

   Universitätsklinikum Aachen · RWTH Aachen University

   Affiliation as printed

   Department of Dermatology and Allergology University Hospital RWTH Aachen Aachen Germany

   Department of Dermatology and Allergology, University Hospital RWTH Aachen, Aachen, Germany

6. Amir Sadegh Yazdi corresponding Aachen Department of Dermatology and Allergology

   Universitätsklinikum Aachen · RWTH Aachen University

   Affiliation as printed

   Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) Germany

   Department of Dermatology and Allergology University Hospital RWTH Aachen Aachen Germany

   Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD), Germany

   Department of Dermatology and Allergology, University Hospital RWTH Aachen, Aachen, Germany