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Definition and Characteristics of Chronic Tissue Injury

A Unique Form of Skin Damage

Mahoney, Mary F.; Rozenboom, Barbara J.

Journal of Wound Ostomy & Continence Nursing: May/June 2019 - Volume 46 - Issue 3 - p 187–191
doi: 10.1097/WON.0000000000000527
Wound Care
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CE

BACKGROUND: The purpose of this article is to examine the evidence related to a unique phenomenon of purple-maroon discoloration of the buttocks found in homecare patients and to recommend a label for this phenomenon.

CASES: Initially, we searched the literature to identify and retrieve any evidence related to this unique form of purple-maroon discoloration of the buttocks. No evidence was found. To illustrate the condition, we compared 4 cases of what we have labeled chronic tissue injury to 6 patients with purple-maroon discoloration of the buttocks from different causes.

CONCLUSION: Chronic tissue injury is characterized by a persistent purple-maroon discoloration located on the fleshy portion of the buttocks that does not improve or deteriorate. Unlike other causes of purple discoloration such as deep tissue pressure injury, there is minimal change in the discoloration over time. Additional research is needed to further our understanding of the histopathology of this phenomenon.

The CE test for this article is available online only at the journal website, jwocnonline.com, and the test can be taken online at NursingCenter.com/CE/JWOCN.

Mary F. Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa.

Barbara J. Rozenboom, BSN, RN, CWON, UnityPoint at Home, Urbandale, Iowa.

Correspondence: Mary F. Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, 11333 Aurora Ave, Urbandale, IA 50322 (Mary.Mahoney@unitypoint.org).

Procedures were reviewed by UnityPoint at Home and UnityPoint Health. The article was determined to be exempt from individual informed consent.

The authors declare no conflicts of interest.

© 2019 by the Wound, Ostomy and Continence Nurses Society.