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Chronic sole ulcer in a child with dyskeratosis congenita: An atypical wound successfully treated with punch grafting
Author(s) -
QuintanaCastanedo Lucía,
FeitoRodríguez Marta,
PérezConde Isabel,
MasedaPedrero Rocío,
ChiloechesFernández Clara,
Lucas Laguna Raúl
Publication year - 2020
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.14316
Subject(s) - medicine , dermatology , hyperkeratosis , dyskeratosis congenita , skin grafting , nail (fastener) , dyskeratosis , hyperhidrosis , leukoplakia , surgery , cancer , dna , biology , metallurgy , genetics , materials science , telomere
Dyskeratosis congenita (DC) is an unusual inherited disease characterized by the triad of mucosal leukoplakia, nail dystrophy, and skin pigmentation. Hyperkeratosis of the palms and soles is another reported skin finding. This hyperkeratosis can lead to fissures, chronic erosion, and deep ulcerations. These atypical wounds are not only a diagnostic but a therapeutic challenge for clinicians, and there are no standardized treatments for these types of chronic wounds. Punch grafting is a traditional and minimally invasive technique to enhance wound healing, and it has been associated with significant and quick pain reduction in ulcers with various underlying causes. Herein, we describe a patient with DC with a chronic and refractory plantar ulcer successfully treated with punch grafting.