2.3 Necrosis




Superficial epithelial necrosis ranging toward full-thickness tissue destruction.


Color: brown, black.


Size: mm to cm.


May involve any area of skin.

Favours areas served by a terminal vessel with few collaterals.


May develop into ulcer.

Heals with atrophy or scarring.

Comment / Explanation

Secondary infections possible.

Typical Dermatoses

May follow: venous leg ulcer, peripheral arterial occlusion, diabetic foot ulcer, deep thermal or chemical burn (3°), deep infections, tumors, autoimmune vasculitis, cryoglobulinemia and cold agglutinins.

Site of entry for anthrax, rickettsial diseases (eschar).


Massive tissue destruction through: tumor outgrowing its vascular supply, infection, obstructive vascular disease, late stage Raynaud.

Trauma: extensive damage.

 Exogenous noxious agents: chemicals (acids or bases), burns, frost bite.

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