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Off-Center Fold
December 2009

Sharply Demarcated, Erythematous Plaques on an Amputation Stump—Quiz Case

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Arch Dermatol. 2009;145(12):1447-1452. doi:10.1001/archdermatol.2009.287-a

A 20-year-old man presented with a history of a motor vehicle crash that had resulted in a traumatic below-the-knee amputation of the left leg. There were scaly, red plaques on the distal part of the stump that had arisen within weeks of the injury. Before presentation, he underwent 2 revisions of the amputation, incision and drainage procedures, antibiotic therapy, and treatment with a vacuum-assisted wound closure device. Notably, at the time of presentation, he had not yet been fitted for his prosthesis because of persistent ulcers in the affected area.

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