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Successful Fat Grafting in a Patient With Thromboangiitis Obliterans

Thromboangiitis obliterans, or Buerger disease, is a rare nonatherosclerotic segmental inflammatory vasculitis that generally affects young tobacco smokers. Although no surgical treatment is available, the most effective way to halt the disease's progress is smoking cessation. In this case report, a 29-year-old smoker showed up to emergency department with gangrene of his fifth left toe and extensive plantar ulceration. After investigative angiography, he was diagnosed with Buerger disease. On November 2017, he underwent fifth left toe amputation and hyperbaric therapy. Five months after amputation, the patient was rehospitalized because of surgical wound dehiscence, wide ulceration, and pain. He was treated with lipofilling using the Coleman technique. Two weeks after the fat grafting pro...

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https://medworm.com/746148201/successful-fat-grafting-in-a-patient-with-thromboangiitis-obliterans/

Scratching the Surface: A Review of Dermatitis

No abstract available (Source: Advances in Skin and Wound Care)

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https://medworm.com/746148200/scratching-the-surface-a-review-of-dermatitis/

2019 in Review: Snapshots for Strategy to Refine Workflows

No abstract available (Source: Advances in Skin and Wound Care)

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https://medworm.com/746148199/2019-in-review-snapshots-for-strategy-to-refine-workflows/

Plantar Cutaneous Sensory Stimulation Improves Foot Sensibility and Gait Speed in Older Adults With Diabetes: A Clinical Trial

CONCLUSIONS
This study showed that plantar cutaneous sensory stimulation can improve foot sensibility and increase the gait speed of older adults with DM2. However, there were no meaningful dorsiflexor or plantiflexor gains after 12 weeks. (Source: Advances in Skin and Wound Care)

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https://medworm.com/746148198/plantar-cutaneous-sensory-stimulation-improves-foot-sensibility-and-gait-speed-in-older-adults-with-/

The Impact of Extracorporeal Shock Wave Therapy on Microcirculation in Diabetic Feet: A Pilot Study

BACKGROUND
Patients with diabetic foot commonly experience vascular insufficiency and compromised tissue perfusion. Extracorporeal shockwave therapy (ESWT) reportedly promotes wound healing and angiogenesis, but clinical studies on the effect of ESWT on angiogenesis are scarce and the exact mechanism remains unclear.
OBJECTIVE
To investigate the effect of ESWT on cutaneous microcirculation in diabetic feet.
METHODS
Ten patients with diabetic feet received ESWT twice weekly for a total of six sessions. Transcutaneous partial oxygen pressure (TcPO2) and cutaneous blood flow were measured before and after ESWT.
MAIN RESULTS
The treated feet showed statistically significant improvements in the mean TcPO2 (P (Source: Advances in Skin and Wound Care)

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https://medworm.com/746148197/the-impact-of-extracorporeal-shock-wave-therapy-on-microcirculation-in-diabetic-feet-a-pilot-study/

Contact Sensitization in Patients with Chronic Leg Ulcers: Results of a 5-Year Retrospective Analysis

CONCLUSIONS
Contact sensitization is very common in patients with chronic leg ulcers, and pruritus around the ulcer is associated with contact allergy as well as polysensitization. (Source: Advances in Skin and Wound Care)

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https://medworm.com/746148196/contact-sensitization-in-patients-with-chronic-leg-ulcers-results-of-a-5-year-retrospective-analysi/

Filling in the Gaps of Scleroderma Ulcer Care: A Review

Digital ulcers are a serious complication in 50% of patients with scleroderma. These ulcers have the potential to resist conventional therapies. There have been several reviews of scleroderma care over the last 5 years, but there are new developments in this field that advance clinician knowledge. This review provides an overview of previous digital ulcer management and a concise summary of new peer-reviewed literature on the topic since 2015 to provide guidance to practitioners and researchers seeking well-supported and novel/off-label therapies to consider. (Source: Advances in Skin and Wound Care)

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https://medworm.com/746148195/filling-in-the-gaps-of-scleroderma-ulcer-care-a-review/

Successful Treatment of Chronic Lower Extremity Ulcers with Allogeneic Platelet-Rich Plasma and Artificial Dermis: A Case Report

Hydroxyurea is an oral medication associated with painful, nonhealing ulcers, for which there is no effective treatment but permanent discontinuation of hydroxyurea. The authors present a case of leg ulcers that likely occurred as a result of hydroxyurea use in a patient with essential thrombocythemia. Topical treatment with allogeneic platelet-rich plasma and artificial dermis completely healed the leg ulcers without hydroxyurea cessation. (Source: Advances in Skin and Wound Care)

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https://medworm.com/746148194/successful-treatment-of-chronic-lower-extremity-ulcers-with-allogeneic-platelet-rich-plasma-and-arti/

Scratching the Surface: A Review of Dermatitis

GENERAL PURPOSE
To present a case-based review illustrating atopic and contact dermatitis, including management of these conditions using topical and systemic therapies.
TARGET AUDIENCE
This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.
LEARNING OBJECTIVES/OUTCOMES
After participating in this educational activity, the participant should be better able to:
1. Review the prevalence, etiology, and consequences of the various types of dermatitis.
2. Describe the clinical manifestations and differential diagnosis of the various types of dermatitis.
3. Outline the treatment options for the various types of dermatitis.
Eczematous reactions such as atopic dermatitis and contact de...

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https://medworm.com/746148193/scratching-the-surface-a-review-of-dermatitis/

2019 Frequently Asked Reimbursement Questions

No abstract available (Source: Advances in Skin and Wound Care)

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https://medworm.com/746148192/2019-frequently-asked-reimbursement-questions/

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