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E-POSTER: CASE STUDY
E-Poster: Case Study
EP 574
SOFT SILICONE AND LINOLEIC ACID TO TREAT CHRONICAL WOUND IN A
PATIENT WITH SJOGREN’S SYNDROME
Vania Declair Cohen 1 , Luiz Gustavo Balaguer Cruz 2
1 V.Declair Dermatology (São Paulo, Brazil);
2 Hospital 9 de Julho (São Paulo, Brazil).
SJOGREN’S SYNDROME is an autoimmune disorder that affects primarily secretory
glands. The most common manifestation is keratoconjunctivitis, xerostomia, arthritis,
vacuities, peripheral neuropathy and annular erytema. This disease can be rather
difficult to diagnose and may exist as a primary disorder or in association with other
autoimmune disease like rheumatoid arthritis, systemic lupus erytematosus or
scleroderma.
Aim: The aim of this case study is to report the successful treatment of chronic ulcers
associated with vasculitis in the lower limbs of one patient with SJOGREN’S
SYNDROME.
Methods: W.B. male, 68 y, HIV +, autoantibody present anti-SS-A and increased
expression of the genes bcl-2 (anti-apoptotic protein), The cutaneous lesions has been
found due to lymphocytic vasculitis demonstrated by mononuclear cell infiltration with
disruption of the tissue. The patient had multiple infected chronic ulcers in bilateral lower
limbs for over 10 years, which had already been subjected to various types of treatment
without success. After the first assessment wounds was treated with Silver Soft Silicone
Foam Dressing for two weeks to relief-sustained pain, promote healing environment and
reduce critical colonization. Thereafter, we stated the treatment with soft silicone
associated with Linoleic Acid with retinol palmitate and D-Alpha-Tocoferol.
Results: The wound showed improvements. The dressing showed healing environment
and alleviation of the pain. Linoleic Acid improved the granulation and epitalization
tissue. These wounds showed completely healing after ten weeks.
Outcome: Patient’s wife: “Thank you for recognizing how important it was for my
husband to be healing when everyone said that would never be healed.”
EP 575
E-Poster: Case Study
A CASE OF DIABETIC HAND WOUND TREATED IN HYPERBARIC OXYGEN
THERAPY CENTER
Bengusu Oroglu 1
1 Istanbul University, Istanbul Faculty of Medicine, Department of Underwater and
Hyperbaric Medicine (Istanbul, Turkey).
Aim: Our aim is to share our experiences about a diabetic hand wound treated in
hyperbaric oxygen therapy center.
Method: It is a case presentation.
Case: A 75 year old male applied with a right hand wound. His type 2 diabetes was
diagnosed approximately 30 years ago and was on insulin therapy for the last fifteen
years. At the beginning of March 2012 he was wounded by his own dental plate and
applied to a local hospital with cellulitis. He was hospitalized for two weeks for infection
control but then was offered hand amputation which he did not accept. When he applied
to our department had two necrotic and infected wounds on right hand which was still
extremely cellulitis. The wound was debrided, appropriate antibiotherapy was given and
hyperbaric oxygen (HBO) therapy was started. The wound was followed by regular
debridements and dressing changes. At the end of six weeks HBO therapy was ended
and at the end of eight weeks the wounds were totally healed.
Conclusion: Diabetic hand wound is a rare complication compared to diabetic foot and
is less reported. Therefore we wanted share our treatment experiences and our support
of HBO use in the management of such patients.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
323