14 year boy with no known disease apart from (sever allergy | Figure 1
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Patient Details
14 year old boy with no known disease apart from severe allergy from mosquito bites.
He has some venous malformation on his right upper forearm with frequent attacks of thrombophlebitis. Excision of this vascular lesion was done two weeks ago (biopsy was cavernous hemangioma). On the fourth postoperative day, he developed a superficial skin lesion on the forearm, away from the site of surgery but on the same line of incision. The lesion started as an ulceration and then sloughing of skin. No venous or arterial compromise, and no contact allergy to dressing plaster, antiseptic, or medications used.
No obvious explanation for the lesion was found; it appeared similar to second-degree burns and was treated as such, responding well to topical treatment but lasting for ten days.
Recently, a new similar skin lesion appeared with the same appearance, direction, and clinical story (visible on the dorsum of the wrist). Any explanation for that? Any ideas on how to manage?
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