A Case of Coma Bullae Associated with Brachioradial Artery

Mu Niu,1,* Li-Jun Deng,2,* Rui-Bin Wu,2 Zhen-Zhong Lu2 1Department of Dermatology, The Fifth People’s Hospital of Hainan Province, Affiliated Dermatology Hospital of Hainan Medical University, Haikou, People’s Republic of China; 2Department of Dermatology, Wuzhong People’s Hospital,...

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Main Authors: Niu M, Deng LJ, Wu RB, Lu ZZ
Format: Article
Language:English
Published: Dove Medical Press 2023-07-01
Series:Clinical, Cosmetic and Investigational Dermatology
Subjects:
Online Access:https://www.dovepress.com/a-case-of-coma-bullae-associated-with-brachioradial-artery-peer-reviewed-fulltext-article-CCID
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author Niu M
Deng LJ
Wu RB
Lu ZZ
author_facet Niu M
Deng LJ
Wu RB
Lu ZZ
author_sort Niu M
collection DOAJ
description Mu Niu,1,* Li-Jun Deng,2,* Rui-Bin Wu,2 Zhen-Zhong Lu2 1Department of Dermatology, The Fifth People’s Hospital of Hainan Province, Affiliated Dermatology Hospital of Hainan Medical University, Haikou, People’s Republic of China; 2Department of Dermatology, Wuzhong People’s Hospital, Suzhou, People’s Republic of China*These authors contributed equally to this workCorrespondence: Rui-Bin Wu; Zhen-Zhong Lu, Wuzhong People’s Hospital, Suzhou, People’s Republic of China, Email wrb1968@163.com; enigmaago@163.comAbstract: We present the first case of coma bullae observed in a 67-year-old woman due to pressure and ischemia associated with brachioradial artery. A skin biopsy taken from the ulcer border revealed extensive loss of the epidermis, fibrosis of dermis, mild infiltration by lymphocytes and neutrophils, and necrosis of the focal eccrine ducts. CT angiography of the right upper limb showed a high origin of the radial artery, meanwhile both high originating radial artery and the anastomoses were tortuous and were of relatively small caliber. The diagnosis of coma bullae was made. After tissue debridement, the skin lesions gradually recovered, leaving atrophic scars.Keywords: coma bullae, brachioradial artery
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spelling doaj.art-8719f44e8ac644a59daa127866dec0f12023-07-18T18:55:21ZengDove Medical PressClinical, Cosmetic and Investigational Dermatology1178-70152023-07-01Volume 161857186485242A Case of Coma Bullae Associated with Brachioradial ArteryNiu MDeng LJWu RBLu ZZMu Niu,1,* Li-Jun Deng,2,* Rui-Bin Wu,2 Zhen-Zhong Lu2 1Department of Dermatology, The Fifth People’s Hospital of Hainan Province, Affiliated Dermatology Hospital of Hainan Medical University, Haikou, People’s Republic of China; 2Department of Dermatology, Wuzhong People’s Hospital, Suzhou, People’s Republic of China*These authors contributed equally to this workCorrespondence: Rui-Bin Wu; Zhen-Zhong Lu, Wuzhong People’s Hospital, Suzhou, People’s Republic of China, Email wrb1968@163.com; enigmaago@163.comAbstract: We present the first case of coma bullae observed in a 67-year-old woman due to pressure and ischemia associated with brachioradial artery. A skin biopsy taken from the ulcer border revealed extensive loss of the epidermis, fibrosis of dermis, mild infiltration by lymphocytes and neutrophils, and necrosis of the focal eccrine ducts. CT angiography of the right upper limb showed a high origin of the radial artery, meanwhile both high originating radial artery and the anastomoses were tortuous and were of relatively small caliber. The diagnosis of coma bullae was made. After tissue debridement, the skin lesions gradually recovered, leaving atrophic scars.Keywords: coma bullae, brachioradial arteryhttps://www.dovepress.com/a-case-of-coma-bullae-associated-with-brachioradial-artery-peer-reviewed-fulltext-article-CCIDcoma bullae,brachioradial artery
spellingShingle Niu M
Deng LJ
Wu RB
Lu ZZ
A Case of Coma Bullae Associated with Brachioradial Artery
Clinical, Cosmetic and Investigational Dermatology
coma bullae,brachioradial artery
title A Case of Coma Bullae Associated with Brachioradial Artery
title_full A Case of Coma Bullae Associated with Brachioradial Artery
title_fullStr A Case of Coma Bullae Associated with Brachioradial Artery
title_full_unstemmed A Case of Coma Bullae Associated with Brachioradial Artery
title_short A Case of Coma Bullae Associated with Brachioradial Artery
title_sort case of coma bullae associated with brachioradial artery
topic coma bullae,brachioradial artery
url https://www.dovepress.com/a-case-of-coma-bullae-associated-with-brachioradial-artery-peer-reviewed-fulltext-article-CCID
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