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Successful topical hemotherapy with a new occlusive dressing for an intractable ulcer on the toe
Author(s) -
IWAYAMAHIBINO Michiko,
SUGIURA Kazumitsu,
MURO Yoshinao,
TOMITA Yasushi
Publication year - 2009
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.2009.00632.x
Subject(s) - hemotherapy , medicine , granulation tissue , surgery , refractory (planetary science) , occlusive dressing , anesthesia , wound healing , pathology , physics , alternative medicine , astrobiology
Topical hemotherapy is a method of applying heparinized venous blood directly onto the surface of an ulcer, which is covered with an occlusive hydrocolloidal dressing. It is often effective on chronic ulcers with thick necrosis, because some proteinases and growth factors in plasma are probably involved in the digestion of necrotic tissues and the acceleration of granulation and epithelization. We treated a patient with an intractable ulcer on the toe caused by a peripheral circulatory disturbance due to her systemic sclerosis. As conventional topical hemotherapy cannot be applied to ulcers on the round tip of a toe, we made a device for occlusive dressing of topical hemotherapy which could successfully improve the previously refractory ulcer.