Intended for healthcare professionals

Minerva

Surgery or steroids?

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h3513 (Published 16 July 2015) Cite this as: BMJ 2015;351:h3513

Re: Surgery or steroids?

Dear Sir/Madam
This Minerva misses the main learning point. Accurate diagnosis of the problem should have been attempted before the surgical debridement and skin graft repair. Swab and tissue cultures for bacteriology and mycology and histopathology would have given the correct diagnosis. Was the patient seen by a dermatologist?

Kind regards

Competing interests: No competing interests

22 July 2015
PERIASAMY BALASUBRAMANIAM
Consultant Dermatologist
Betsi Cadwaladr University Health Board
Dermatology, Wrexham Maelor Hospital, Wrexham LL13 7TD