Rheumatoid arthritis-associated inflammatory leg ulcers: a new treatment for recalcitrant wounds.
Patients with rheumatoid arthritis may develop leg ulcers of varied aetiologies, including venous disease, infection and inflammation (vasculitis or pyoderma gangrenosum). The leg ulcers in rheumatoid arthritis patients may involve several of these aetiological factors and are often difficult to hea...
| Publicado en: | International Wound Journal Vol. 1; no. 1; pp. 81 - 85 |
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| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2004
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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=106513476&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106513476 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17424801 1725 jtl: International Wound Journal issn: 17424801 maglogo: Y pubinfo: dt: Apr2004 vid: 1 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106513476 2009020488 10.1111/j.1742-481x.2004.0002.x NLM16722900 106513476 ppf: 81 ppct: 4 formats: tig: atl: Rheumatoid arthritis-associated inflammatory leg ulcers: a new treatment for recalcitrant wounds. aug: au: Coelho S Amarelo M Ryan S Reddy M Sibbald RG affil: Dermatology Day Care and Wound Healing Clinic, Women's College Ambulatory Care Centre, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada sug: subj: Arthritis, Rheumatoid Complications Bandages and Dressings Leg Ulcer Etiology Leg Ulcer Therapy Aged Aged, 80 and Over Cellulose Collagen Compression Therapy Female Leg Ulcer Complications Peptide Hydrolases Physiology Pyoderma Gangrenosum Etiology Pyoderma Gangrenosum Therapy Treatment Outcomes Wound Healing Wound Infection Etiology Human Aged: 65+ years Aged, 80 & over Female ab: Patients with rheumatoid arthritis may develop leg ulcers of varied aetiologies, including venous disease, infection and inflammation (vasculitis or pyoderma gangrenosum). The leg ulcers in rheumatoid arthritis patients may involve several of these aetiological factors and are often difficult to heal. Both the ulcers and the treatments are often painful, and these ulcers may be present for years. A new oxidised regenerated cellulose and collagen dressing has been developed for slow-to-heal wounds and may have a role in the management of superficial inflammation that may persist in many of these ulcers, although clinically it is difficult to distinguish this from critical colonisation or frank infection. Venous disease requires compression therapy. Deep compartment infection should be treated with systemic antimicrobials, and inflammatory processes extending beyond the superficial wound base require disease-specific systemic anti-inflammatory agents. Four patients with recalcitrant wounds resistant to best practice were treated successfully with this new dressing combined with a strategy to control bacterial burden. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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