ORIGINAL ARTICLES   

Acta Vulnologica 2007 December;5(4):161-5

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: Italian

Biocellulose based advanced dressing (Supra-sorb X®/Suprasorb X+ PHMB®) for the treatment of refractary digital ulcers in scleroderma patients

Maino C. ¹, Pozzi M. R. ², Bernabò C. ², Galbiati M. ², Allevi E. ², Motta P. ², Manzocchi N. ², Russo P. ²

¹ Progetto Aziendale WoundCare Day Hospital UOSReumatologia Azienda Ospedaliera San Gerardo, Monza 2 Day Hospital UOS Reumatologia Dipartimento di Medicina Azienda Ospedaliera SanGerardo, Monza

Finger-tips scleroderma wounds (digital ulcers) are usually difficul to treat both for the seat of the lesion and for the severe associated pain. We enrolled in an open trial 9 scleroderma patients treated with systemic vasodilators and refractory DU notwithstanding repeated applications of advanced dressings. Suprasorb X® is an advanced dressing basically oriented to fluid balance : after accurate detersion the dressing has been applied 2 times per week, 3-4 weeks, and then once a time in a week, other 3-4 weeks. Pain decreased dramatically in all patients after the first applications and the wounds healed in 7 out of 9 patients while improved significantly in the last two patients who are still in treatment on clinical basis. In this preliminary experience Suprasorb X® was better than any other advanced dressing we used, for the healing of finger-tips wounds in scleroderma patients because of pain control and fluid balance and peri-wound skin control.