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Digital Ulcers: Multidisciplinary Approach and Dermatological Management

INTRODUCTION: Digital ulcers represent a current public health issue, due to the relevant difficulties in their management and their tendency to become chronic, non-healing lesions. OBJECTIVES: Our case series represents an opportunity to discuss the main comorbidities of digital ulcers and to prese...

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Autores principales: Starace, Michela, Orioni, Gionathan, Alessandrini, Aurora, Bruni, Francesca, Baraldi, Carlotta, Misciali, Cosimo, Piraccini, Bianca Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946100/
https://www.ncbi.nlm.nih.gov/pubmed/36892353
http://dx.doi.org/10.5826/dpc.1301a19
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author Starace, Michela
Orioni, Gionathan
Alessandrini, Aurora
Bruni, Francesca
Baraldi, Carlotta
Misciali, Cosimo
Piraccini, Bianca Maria
author_facet Starace, Michela
Orioni, Gionathan
Alessandrini, Aurora
Bruni, Francesca
Baraldi, Carlotta
Misciali, Cosimo
Piraccini, Bianca Maria
author_sort Starace, Michela
collection PubMed
description INTRODUCTION: Digital ulcers represent a current public health issue, due to the relevant difficulties in their management and their tendency to become chronic, non-healing lesions. OBJECTIVES: Our case series represents an opportunity to discuss the main comorbidities of digital ulcers and to present an evidence-based treatment protocol that has proved highly effective in our clinical practice. METHODS: We collected the clinical data about clinical features, associated diseases and diagnostic therapeutical procedures of 28 patients with digital ulcers referred to our Wound Care Service at S. Orsola-Malpighi Hospital. RESULTS: Digital ulcers were divided into 5 categories, based on the causative agent: peripheral artery disease: 5/16 females and 4/12 males, diabetes-associated wounds: 2/16 females and 1/12 males, mixed wounds: 4/12 males, pressure wounds: 3/16 females and 2/12 males, and immune-mediated diseases associated with wounds: 6/16 females and 1/12 males. Each group received specific management, based on the characteristics of the ulcer and the underlying comorbidities. CONCLUSIONS: The clinical evaluation of digital wounds requires a thorough knowledge of their aetiopathogenesis. A multidisciplinary approach is necessary to achieve a precise diagnosis and correct treatment.
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spelling pubmed-99461002023-02-23 Digital Ulcers: Multidisciplinary Approach and Dermatological Management Starace, Michela Orioni, Gionathan Alessandrini, Aurora Bruni, Francesca Baraldi, Carlotta Misciali, Cosimo Piraccini, Bianca Maria Dermatol Pract Concept Original Article INTRODUCTION: Digital ulcers represent a current public health issue, due to the relevant difficulties in their management and their tendency to become chronic, non-healing lesions. OBJECTIVES: Our case series represents an opportunity to discuss the main comorbidities of digital ulcers and to present an evidence-based treatment protocol that has proved highly effective in our clinical practice. METHODS: We collected the clinical data about clinical features, associated diseases and diagnostic therapeutical procedures of 28 patients with digital ulcers referred to our Wound Care Service at S. Orsola-Malpighi Hospital. RESULTS: Digital ulcers were divided into 5 categories, based on the causative agent: peripheral artery disease: 5/16 females and 4/12 males, diabetes-associated wounds: 2/16 females and 1/12 males, mixed wounds: 4/12 males, pressure wounds: 3/16 females and 2/12 males, and immune-mediated diseases associated with wounds: 6/16 females and 1/12 males. Each group received specific management, based on the characteristics of the ulcer and the underlying comorbidities. CONCLUSIONS: The clinical evaluation of digital wounds requires a thorough knowledge of their aetiopathogenesis. A multidisciplinary approach is necessary to achieve a precise diagnosis and correct treatment. Mattioli 1885 2023-01-01 /pmc/articles/PMC9946100/ /pubmed/36892353 http://dx.doi.org/10.5826/dpc.1301a19 Text en ©2023 Starace et al. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original authors and source are credited.
spellingShingle Original Article
Starace, Michela
Orioni, Gionathan
Alessandrini, Aurora
Bruni, Francesca
Baraldi, Carlotta
Misciali, Cosimo
Piraccini, Bianca Maria
Digital Ulcers: Multidisciplinary Approach and Dermatological Management
title Digital Ulcers: Multidisciplinary Approach and Dermatological Management
title_full Digital Ulcers: Multidisciplinary Approach and Dermatological Management
title_fullStr Digital Ulcers: Multidisciplinary Approach and Dermatological Management
title_full_unstemmed Digital Ulcers: Multidisciplinary Approach and Dermatological Management
title_short Digital Ulcers: Multidisciplinary Approach and Dermatological Management
title_sort digital ulcers: multidisciplinary approach and dermatological management
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946100/
https://www.ncbi.nlm.nih.gov/pubmed/36892353
http://dx.doi.org/10.5826/dpc.1301a19
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