Ulcerated Necrobiosis Lipoidica: A Combined Treatment Approach with Dermatosurgery and PUVA
Identifieur interne : 008F76 ( Main/Exploration ); précédent : 008F75; suivant : 008F77Ulcerated Necrobiosis Lipoidica: A Combined Treatment Approach with Dermatosurgery and PUVA
Auteurs : Erich Köstler [Allemagne] ; Uwe Wollina [Allemagne]Source :
- The International Journal of Lower Extremity Wounds [ 1534-7346 ] ; 2003-12.
English descriptors
Abstract
Ulcerated necrobiosis lipoidica is one of the differential diagnoses in leg ulcers. The diagnosis is confirmed by histopathology. The authors report on a 68-year-old female patient with a history of chronic venous insufficiency who developed a chronic leg ulcer that did not respond to good ulcer care and compression bandaging. Skin biopsies revealed necrobiosis lipoidica. The patient was recently discovered to have diabetes mellitus that was treated orally by ascarose. Phlebosurgery and mesh grafting were performed, and the patient was given pentoxyfiline, dapsone, and clofazimine, but none of these treatments was successful. Therefore, topical PUVA therapy was introduced that resulted in partial remission and stabilizing of the residual pathology. Based on these experiences, the use of surgical methods alone is questionable.
Url:
DOI: 10.1177/1534734603260680
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 006A21
- to stream Istex, to step Curation: 006A21
- to stream Istex, to step Checkpoint: 002191
- to stream Main, to step Merge: 009289
- to stream Main, to step Curation: 008F76
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Ulcerated Necrobiosis Lipoidica: A Combined Treatment Approach with Dermatosurgery and PUVA</title><author wicri:is="90%"><name sortKey="Kostler, Erich" sort="Kostler, Erich" uniqKey="Kostler E" first="Erich" last="Köstler">Erich Köstler</name></author><author wicri:is="90%"><name sortKey="Wollina, Uwe" sort="Wollina, Uwe" uniqKey="Wollina U" first="Uwe" last="Wollina">Uwe Wollina</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:E2A3E2BEE1DE203A954331722CD33FB5C30EA883</idno><date when="2003" year="2003">2003</date><idno type="doi">10.1177/1534734603260680</idno><idno type="url">https://api.istex.fr/document/E2A3E2BEE1DE203A954331722CD33FB5C30EA883/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">006A21</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">006A21</idno><idno type="wicri:Area/Istex/Curation">006A21</idno><idno type="wicri:Area/Istex/Checkpoint">002191</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">002191</idno><idno type="wicri:doubleKey">1534-7346:2003:Kostler E:ulcerated:necrobiosis:lipoidica</idno><idno type="wicri:Area/Main/Merge">009289</idno><idno type="wicri:Area/Main/Curation">008F76</idno><idno type="wicri:Area/Main/Exploration">008F76</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Ulcerated Necrobiosis Lipoidica: A Combined Treatment Approach with Dermatosurgery and PUVA</title><author wicri:is="90%"><name sortKey="Kostler, Erich" sort="Kostler, Erich" uniqKey="Kostler E" first="Erich" last="Köstler">Erich Köstler</name><affiliation wicri:level="1"><country wicri:rule="url">Allemagne</country><wicri:regionArea>Department of Dermatology, Hospital Dresden-Friedrichstadt, Dresden, Germany</wicri:regionArea><wicri:noRegion>Germany</wicri:noRegion><wicri:noRegion>Germany</wicri:noRegion></affiliation></author><author wicri:is="90%"><name sortKey="Wollina, Uwe" sort="Wollina, Uwe" uniqKey="Wollina U" first="Uwe" last="Wollina">Uwe Wollina</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology, Hospital Dresden-Friedrichstadt, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">The International Journal of Lower Extremity Wounds</title><title level="j" type="abbrev">International Journal of Lower Extremity Wounds</title><idno type="ISSN">1534-7346</idno><idno type="eISSN">1552-6941</idno><imprint><publisher>SAGE Publications</publisher><date type="published" when="2003-12">2003-12</date><biblScope unit="volume">2</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="243">243</biblScope><biblScope unit="page" to="245">245</biblScope></imprint><idno type="ISSN">1534-7346</idno></series><idno type="istex">E2A3E2BEE1DE203A954331722CD33FB5C30EA883</idno><idno type="DOI">10.1177/1534734603260680</idno><idno type="ArticleID">10.1177_1534734603260680</idno><idno type="local">10.11771534734603260680</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1534-7346</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>PUVA therapy</term><term>leg ulcer</term><term>mesh graft transplantation</term><term>necrobiosis lipoidica</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Ulcerated necrobiosis lipoidica is one of the differential diagnoses in leg ulcers. The diagnosis is confirmed by histopathology. The authors report on a 68-year-old female patient with a history of chronic venous insufficiency who developed a chronic leg ulcer that did not respond to good ulcer care and compression bandaging. Skin biopsies revealed necrobiosis lipoidica. The patient was recently discovered to have diabetes mellitus that was treated orally by ascarose. Phlebosurgery and mesh grafting were performed, and the patient was given pentoxyfiline, dapsone, and clofazimine, but none of these treatments was successful. Therefore, topical PUVA therapy was introduced that resulted in partial remission and stabilizing of the residual pathology. Based on these experiences, the use of surgical methods alone is questionable.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>District de Dresde</li><li>Saxe (Land)</li></region><settlement><li>Dresde</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Kostler, Erich" sort="Kostler, Erich" uniqKey="Kostler E" first="Erich" last="Köstler">Erich Köstler</name></noRegion><name sortKey="Wollina, Uwe" sort="Wollina, Uwe" uniqKey="Wollina U" first="Uwe" last="Wollina">Uwe Wollina</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 008F76 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 008F76 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:E2A3E2BEE1DE203A954331722CD33FB5C30EA883
|texte= Ulcerated Necrobiosis Lipoidica: A Combined Treatment Approach with Dermatosurgery and PUVA
}}
| This area was generated with Dilib version V0.6.31. |  |