While some wounds are straightforward to diagnose and treat, others can be elusive, leading to misdiagnosis and delayed or ineffective treatment. This, in turn, can lead to worsening of the wound and increased risk of complications, such as infection, amputation, or even death. That’s why accurate diagnosis of wounds is indispensable to developing an effective treatment plan tailored to the specific type of wound and underlying causes.
Two Commonly Misdiagnosed Wounds
Necrotizing Fasciitis
Necrotizing fasciitis, commonly known as the flesh-eating bacteria disease, is a severe and scary bacterial infection that destroys fat, muscle and subcutaneous tissue. It travels along fascial planes beneath the skin at a rapid rate and can create a large amount of tissue loss very quickly. This process is often misdiagnosed in its early stages as there are relatively few skin changes. Pain out of proportion to physical findings may be the first clue. Any delay in treatment can lead to extensive tissue loss and possibly death.
Pyoderma Gangrenosum
Pyoderma gangrenosum is a rare skin condition characterized by painful, rapidly progressing ulcers sometimes with a purple or blue border. The base of the wound is often filled with slough and necrotic tissue and the wound borders often appear irregular and ragged. This wound is caused by an inappropriate inflammatory response that targets the patient’s own tissues. If it misdiagnosed as an infection vasculitis or other types of ulcers, this may delay appropriate treatment.
Become a Master Wound Healer
Chronic wounds can be challenging to diagnose and treat, especially when they mimic other skin conditions or ulcers. By understanding the characteristics of commonly misdiagnosed chronic wounds and the risks associated with inaccurate diagnosis, you can improve your diagnostic accuracy and provide better care for patients. Our Wound Healer Master Class can teach you how to correctly identify and treat these and other chronic wounds. Learn more about becoming a Master Wound Healer and how to earn CME credits.
