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E-POSTER: CASE STUDY
E-Poster: Case Study
EP 578
KLIPPEL TRENAUNAY SYNDROME-OTPIMIZING WELL BEING
Jan Rice 1
1 LaTrobe University World of Wounds (Melbourne, Australia).
Aim: This case study will highlight just how the clinician can impact on the well being of
someone born with a congenital syndrome that has impacted on her young life resulting
in hard to heal wounds. Klippel Trenaunay Syndrome is a rare syndrome usually
involving port wine stains, excess growth of bones and soft tissue, and varicose veins.
My patient was thirteen years old when I first met her – she is now twenty one years of
age and has had multiple venous ulcers, surgery and scleropathy sessions with her
vascular surgeon. My goal in her management plan was to provide support and
strategies to self care and fulfill her life ambitions.
Methods: As a health professional it is easy to pay lip service to the terms – holistic
care. The reality is that this is sometimes very difficult to achieve in our cost constrained
environments. Accurate assessment, appropriate referral, ongoing education and
continual support through modern media has allowed my patient to explore her dreams
and lead a fulfilling life to date
Results/Discussion: My patient never spoke when I first met her – her mother
answered all my questions. Today my patient is self caring-and with encouragement has
managed to travel to India, Nepal and Israel in the past 2 years. Emails photographs
allow us to chat about wound care and provide her with the support she has required to
gain self confidence in self care.
EP 579
CANCER AND EPIDERMOLYSIS BULLOSA – CASE REPORT
E-Poster: Case Study
Silvana Prazeres 1 , Cheila Costa 2
1 MaximedSul And Unisinos (Porto Alegre, Brazil);
2 MaximedSul (Porto Alegre, Brazil).
Introduction: Cancer is one of the most serious complications arising in patients with
dystrophic epidermolysis bullosa (EB). It is a rare genetic disorder characterized by
extremely fragile skin and mucosa, resulting in blisters and chronic wounds. There are
studies demonstrating that squamous cell carcinoma, malignant melanoma infiltrative
and basal cell carcinoma are often found as one of the complications and causes of
death among individuals with recessive dystrophic epidermolysis bullosa (RDEB).
Objective: The aim of this study is to report accompaniment a injury patient with RDEB
in right knee type dermoid carcinoma.
Method: The registry of the case was conducted during weekly home care, from
September to December 2011, observing the injury healing processes, adapting nursing
actions according to the evolution of postoperative carcinoma. Featuring ulcerated lesion
on right knee. Exudative lesions and fetid with progressive worsening in recent months.
He mades a biopsy and was diagnosed differentiated squalors cell carcinoma,
keratinizing, invading the reticular dermis. It was to promote an atraumatic dressing and
tissue regeneration. There were initiated daily heated dressings impregnated with soft
silicone.
Results: The purpose of this treatment was to minimize injury trauma, reducing pain,
making exchanges less traumatic and less withdrawal of the new tissue. This permitted a
repair tissue appropriate and not traumatic. Associated with to the dressing with silicone,
an oily solution based on the insaturated essential fatty acids (AGEI). where was
observed the ability to stimulate the healing process, from initial stimulation of the
inflammatory response until complete reepithelialization that happened in about 60 days
after surgery.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
325