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Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report

Systemic sclerosis is a complex disease characterized by extensive fibrosis, microvascular alterations, and additional sequelae. Microvascular alterations can cause painful ulcers and necrosis; however, conservative or surgical treatment is often challenging in terms of healing. The study aimed to d...

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Autores principales: Ito, Hiroyuki, Tanei, Takafumi, Sugawara, Kyoko, Sando, Yu, Hori, Naohiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Fukushima Society of Medical Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9071355/
https://www.ncbi.nlm.nih.gov/pubmed/35228457
http://dx.doi.org/10.5387/fms.2021-33
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author Ito, Hiroyuki
Tanei, Takafumi
Sugawara, Kyoko
Sando, Yu
Hori, Naohiro
author_facet Ito, Hiroyuki
Tanei, Takafumi
Sugawara, Kyoko
Sando, Yu
Hori, Naohiro
author_sort Ito, Hiroyuki
collection PubMed
description Systemic sclerosis is a complex disease characterized by extensive fibrosis, microvascular alterations, and additional sequelae. Microvascular alterations can cause painful ulcers and necrosis; however, conservative or surgical treatment is often challenging in terms of healing. The study aimed to describe a toe ulcer with systemic sclerosis and its’ successful treatment with spinal cord stimulation. An 83-year-old woman, who was diagnosed with systemic sclerosis over the past decade, was distressed by a non-healing toe ulcer for an extended period of time. The patient underwent spinal cord stimulation treatment with the expectation of pain relief and an improvement in microcirculatory insufficiency. Her pain scales and microcirculation improved, and the toe ulcer healed. Furthermore, the frequency of Raynaud’s symptoms was reduced, and the patient’s pain decreased. There was no recurrence of the ulcer and she no longer needed a cane for walking.
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spelling pubmed-90713552022-05-17 Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report Ito, Hiroyuki Tanei, Takafumi Sugawara, Kyoko Sando, Yu Hori, Naohiro Fukushima J Med Sci Case Report Systemic sclerosis is a complex disease characterized by extensive fibrosis, microvascular alterations, and additional sequelae. Microvascular alterations can cause painful ulcers and necrosis; however, conservative or surgical treatment is often challenging in terms of healing. The study aimed to describe a toe ulcer with systemic sclerosis and its’ successful treatment with spinal cord stimulation. An 83-year-old woman, who was diagnosed with systemic sclerosis over the past decade, was distressed by a non-healing toe ulcer for an extended period of time. The patient underwent spinal cord stimulation treatment with the expectation of pain relief and an improvement in microcirculatory insufficiency. Her pain scales and microcirculation improved, and the toe ulcer healed. Furthermore, the frequency of Raynaud’s symptoms was reduced, and the patient’s pain decreased. There was no recurrence of the ulcer and she no longer needed a cane for walking. The Fukushima Society of Medical Science 2022-02-25 2022 /pmc/articles/PMC9071355/ /pubmed/35228457 http://dx.doi.org/10.5387/fms.2021-33 Text en © 2022 The Fukushima Society of Medical Science https://creativecommons.org/licenses/by-nc-sa/4.0/This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. https://creativecommons.org/licenses/by-nc-sa/4.0/
spellingShingle Case Report
Ito, Hiroyuki
Tanei, Takafumi
Sugawara, Kyoko
Sando, Yu
Hori, Naohiro
Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report
title Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report
title_full Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report
title_fullStr Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report
title_full_unstemmed Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report
title_short Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report
title_sort spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9071355/
https://www.ncbi.nlm.nih.gov/pubmed/35228457
http://dx.doi.org/10.5387/fms.2021-33
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