PMC2292809_01
Preoperative clinical picture showing psoriasis vulgaris efflorescence's on the
left thigh.
SRCM2008-509242.001.jpg
PMC2292809_01_SRCM2008-509242.001.jpg
fig1
Treatment with Clobetasol-17-propionat (Dermoxin) creme was initiated and the patient responded well to this treatment (Figure 1).
Left thigh after wide tumour resection and implantation of a Mutars femur
diaphysis implant.
SRCM2008-509242.002.jpg
PMC2292809_01_SRCM2008-509242.002.jpg
fig2
Because of tumour progression and in spite of an expected increased postoperatively infection risk, operation with local wide tumour resection (360 mm) and implantation of a Mutars femur diaphyseal implant was performed one week after psoriasis treatment started (Figure 2).
Left thigh 1 week postoperatively with a slight necrosis of the skin in central
areas of the wound.
SRCM2008-509242.003.jpg
PMC2292809_01_SRCM2008-509242.003.jpg
fig3
No wound infection was seen but a slight necrosis of the skin in central areas of the wound without any clinically relevance and without any relationship to the psoriasis efflorescence's (Figure 3) was observed.
Left
thigh 2 weeks postoperatively after removal of the clips.
SRCM2008-509242.004.jpg
PMC2292809_01_SRCM2008-509242.004.jpg
fig4
Psoriasis treatment was changed from Clobetasol-17-propionate creme to Calcipotriol Betamethasone (Psorcutan) creme and clinically a slight remission of the efflorescence's could be observed (Figure 4).