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A Journal on Phlebology
Acta Phlebologica 2005 December;6(3)
language: English, Italian
Occlusive microangiopatic cryoglobulinemy: a description of ulcerative skin disease treated with drugs and surgical procedures
de Franciscis S., Luongo A., Serra R., Perziano A., Sabino G.
Università degli Studi di Catanzaro "Magna Graecia" Cattedra di Metodologia Clinica Chirurgica, Scuola di Specializzazione in Chirurgia Vascolare, U.O. di Fisiopatologia del Circolo Periferico
AIM: Aim of this study is to demonstrate the efficacy of advanced medications associated to surgical treatment in the healing of difficult skin ulcers.
METHODS: We describe the case of a patient of 62 years old, with cirrhosis HCV related, LNH low grade of malignancy, cryoglobulinemy, hypertension and a skin ulcer at III inferior of left leg. After diagnosing occlusive microangiopatic skin lesion for cryoglobulinemy HCV related the lesion was locally treated with application of advanced medication and once a good grade of detersion had been achieved the patient underwent a surgical procedure of dermo-epidermal skin graft.
RESULTS: After 4 months of medical therapy and surgical at least the lesion was completely healed.
CONCLUSION: Aim of our study is to demonstrate how a local detersion (debridment) represented the base of the healing process prepared the lesion for the definitive surgical treatment. The use of advanced medication gave a perfect autolitic detersion of the lesion and allowed us to programm cutaneous lemb and so the definitive healing of the lesion.