Chronic leg ulcers in adult patients with rheumatological diseases - a 7-year retrospective review.
Chronic leg ulcers in patients with rheumatological diseases can cause significant morbidity. We performed a retrospective case review to describe the epidemiology, clinical features and outcome of chronic leg ulcers in this group of patients. Twenty-nine patients with underlying rheumatological con...
| Publicado en: | International Wound Journal Vol. 11; no. 6; pp. 601 - 605 |
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| Autores principales: | , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103918991&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103918991 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17424801 1725 jtl: International Wound Journal issn: 17424801 maglogo: Y pubinfo: dt: Dec2014 vid: 11 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 103918991 99567423 10.1111/iwj.12012 NLM23237056 103918991 ppf: 601 ppct: 4 formats: tig: atl: Chronic leg ulcers in adult patients with rheumatological diseases - a 7-year retrospective review. aug: au: Chia, Hui Y Tang, Mark BY affil: Dermatology, National Skin Centre sug: subj: Leg Ulcer Diagnosis Chronic Disease Diagnosis Lupus Erythematosus, Systemic Arthritis, Rheumatoid Scleroderma, Systemic Spondylitis, Ankylosing Leg Ulcer Etiology Leg Ulcer Therapy Human Adult Retrospective Design Time Factors Singapore Treatment Outcomes Leg Ulcer Complications Adult: 19-44 years ab: Chronic leg ulcers in patients with rheumatological diseases can cause significant morbidity. We performed a retrospective case review to describe the epidemiology, clinical features and outcome of chronic leg ulcers in this group of patients. Twenty-nine patients with underlying rheumatological conditions, such as, rheumatoid arthritis (15 patients), systemic lupus erythematosus (8 patients), overlap syndromes (3 patients), systemic sclerosis (1 patient) and ankylosing spondylitis (1 patient) were included. The ulcers were mostly located around the ankle (55·2%) and calves (37·9%). The predominant aetiology of the ulcers, in decreasing order of frequency, was venous disease, multifactorial, vasculitis or vasculopathy, infective, pyoderma gangrenosum, ischaemic microangiopathy and iatrogenic. Treatment modalities included aggressive wound bed preparation, compression therapy (17 patients), changes in immunosuppressive therapy (15 patients), hyperbaric oxygen therapy (4 patients) and cellular skin grafting (2 patients). Management of chronic leg ulcers in rheumatological patients is challenging and the importance of careful clinicopathological correlation and treatment of the underlying cause cannot be overemphasised. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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