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What Are The After Effects Of A Pressure Sore?

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Posted on Mon, 7 Jul 2014
Question: What are the after effects of a pressure sore? I have had one on my leg for some time now . I don't expect the discoloring to go away, but I now have brownish, lumpy spots near and/or around the pressure soar that are sensitive to touch. These lumps seem to be spreading. My doctor didn't seem concerned, but said he could do a biopsy. Prior to making a decision in this regard, I would appreciate any advice you may have to offer.
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Answered by Dr. T Chandrakant (36 minutes later)
Brief Answer:
Antibiotic cover and investigations

Detailed Answer:
Hi.
Thanks for your query.
Let us try to simplify.
The after effects of a pressure sore are:
The skin becomes tough, dry leathery, insensitive, may become a scab-like. Over a time may be very adherent in spite of being dead. If there is a secondary infection It may start separating from the periphery, ooze pus, smell and may need surgical excision and further care.

Your history is of the one on your leg.
* < brownish, lumpy spots near and/or around the pressure soar that are sensitive to touch > These are suggestive of a secondary infection forming granulomas, this is the reason of being sensitive to touch and spreading too.

I would advise to go for gram staining and culture-sensitivity, if there s discharge or to aspirate if the lumps are unbroken. This will give an idea. Yes, biopsy will certainly help a lot if there is no response to the best of the antibiotics and supportive treatment, which I hope you must have been put-on.

The pressure sore is a part which has less or no sensitivity. There has to be a reason as a long illness- in bed for a long time.
Is there any history like this?
Can you please post the actual good quality photograph; we have this great facility.
I hope this helps you .

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19779 Questions

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What Are The After Effects Of A Pressure Sore?

Brief Answer: Antibiotic cover and investigations Detailed Answer: Hi. Thanks for your query. Let us try to simplify. The after effects of a pressure sore are: The skin becomes tough, dry leathery, insensitive, may become a scab-like. Over a time may be very adherent in spite of being dead. If there is a secondary infection It may start separating from the periphery, ooze pus, smell and may need surgical excision and further care. Your history is of the one on your leg. * < brownish, lumpy spots near and/or around the pressure soar that are sensitive to touch > These are suggestive of a secondary infection forming granulomas, this is the reason of being sensitive to touch and spreading too. I would advise to go for gram staining and culture-sensitivity, if there s discharge or to aspirate if the lumps are unbroken. This will give an idea. Yes, biopsy will certainly help a lot if there is no response to the best of the antibiotics and supportive treatment, which I hope you must have been put-on. The pressure sore is a part which has less or no sensitivity. There has to be a reason as a long illness- in bed for a long time. Is there any history like this? Can you please post the actual good quality photograph; we have this great facility. I hope this helps you .