PMC9152185_01
Right forearm showing ecthyma gangrenosum.
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However, she developed a red erythematous lesion on her right forearm that progressed overnight into a necrotic lesion (Figure 1).
Lesion after first debridement.
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Operative findings showed full-thickness necrosis of right forearm skin involving 80% of flexor surface that had partly extended to the extensor surface along with patchy muscle necrosis (Figure 2).
Lesion after partial wound approximation.
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Surgical site was re-evaluated after a week and partial wound approximation was performed (Figure 3).