DIGITAL ULCERS AND MULTIPLE AMPUTATIONS IN A SYSTEMIC SCLEROSIS PATIENT
We are presenting the case of a 48 years old female diagnosed at the age of 28 with diffuse cutaneous systemic sclerosis. During the course of disease, despite the vasodilatator treatments and immunosuppresion for visceral involvement, the patient developed multiple infected digital ulcers both in t...
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doaj-71601453971845b0a2e554e6641cc2992021-09-02T21:45:19ZengAmaltea Medical Publishing HouseRomanian Journal of Rheumatology1843-07912069-60862017-12-0126417317810.37897/RJR.2017.4.7DIGITAL ULCERS AND MULTIPLE AMPUTATIONS IN A SYSTEMIC SCLEROSIS PATIENTLaura Groseanu0Ina Cambur1Andra Balanescu2Ruxandra Ionescu3Department of Internal Medicine and Rheumatology, Sf. Maria Clinical Hospital, Bucharest; Carol Davila University of Medicine and Pharmacy, BucharestDepartment of Internal Medicine and Rheumatology, Sf. Maria Clinical Hospital, BucharestDepartment of Internal Medicine and Rheumatology, Sf. Maria Clinical Hospital, Bucharest; Carol Davila University of Medicine and Pharmacy, BucharestDepartment of Internal Medicine and Rheumatology, Sf. Maria Clinical Hospital, Bucharest; Carol Davila University of Medicine and Pharmacy, BucharestWe are presenting the case of a 48 years old female diagnosed at the age of 28 with diffuse cutaneous systemic sclerosis. During the course of disease, despite the vasodilatator treatments and immunosuppresion for visceral involvement, the patient developed multiple infected digital ulcers both in the upper limbs and in the lower limbs, which complicated with wet gangrene, requiring transmetatarsal amputations. At that time, a macrovascular disease or a prothrombotic condition were excluded. Patient also developed infected nondigital lower extremity ulcers, which slowly healed after Alprostadil treatment. The evolution of our patient‘s disease demonstrate that the management of scleroderma vasculopathy represent a challange and a multidisciplinary approach is needed.https://rjr.com.ro/articles/2017.4/RJR_2017_4_Art-07.pdfsystemic sclerosisdigital ulcersnondigital ulcerscritical digital ischemiaamputation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Laura Groseanu Ina Cambur Andra Balanescu Ruxandra Ionescu |
spellingShingle |
Laura Groseanu Ina Cambur Andra Balanescu Ruxandra Ionescu DIGITAL ULCERS AND MULTIPLE AMPUTATIONS IN A SYSTEMIC SCLEROSIS PATIENT Romanian Journal of Rheumatology systemic sclerosis digital ulcers nondigital ulcers critical digital ischemia amputation |
author_facet |
Laura Groseanu Ina Cambur Andra Balanescu Ruxandra Ionescu |
author_sort |
Laura Groseanu |
title |
DIGITAL ULCERS AND MULTIPLE AMPUTATIONS IN A SYSTEMIC SCLEROSIS PATIENT |
title_short |
DIGITAL ULCERS AND MULTIPLE AMPUTATIONS IN A SYSTEMIC SCLEROSIS PATIENT |
title_full |
DIGITAL ULCERS AND MULTIPLE AMPUTATIONS IN A SYSTEMIC SCLEROSIS PATIENT |
title_fullStr |
DIGITAL ULCERS AND MULTIPLE AMPUTATIONS IN A SYSTEMIC SCLEROSIS PATIENT |
title_full_unstemmed |
DIGITAL ULCERS AND MULTIPLE AMPUTATIONS IN A SYSTEMIC SCLEROSIS PATIENT |
title_sort |
digital ulcers and multiple amputations in a systemic sclerosis patient |
publisher |
Amaltea Medical Publishing House |
series |
Romanian Journal of Rheumatology |
issn |
1843-0791 2069-6086 |
publishDate |
2017-12-01 |
description |
We are presenting the case of a 48 years old female diagnosed at the age of 28 with diffuse cutaneous systemic sclerosis. During the course of disease, despite the vasodilatator treatments and immunosuppresion for visceral involvement, the patient developed multiple infected digital ulcers both in the upper limbs and in the lower limbs, which complicated with wet gangrene, requiring transmetatarsal amputations. At that time, a macrovascular disease or a prothrombotic condition were excluded. Patient also developed infected nondigital lower extremity ulcers, which slowly healed after Alprostadil treatment. The evolution of our patient‘s disease demonstrate that the management of scleroderma vasculopathy represent a challange and a multidisciplinary approach is needed. |
topic |
systemic sclerosis digital ulcers nondigital ulcers critical digital ischemia amputation |
url |
https://rjr.com.ro/articles/2017.4/RJR_2017_4_Art-07.pdf |
work_keys_str_mv |
AT lauragroseanu digitalulcersandmultipleamputationsinasystemicsclerosispatient AT inacambur digitalulcersandmultipleamputationsinasystemicsclerosispatient AT andrabalanescu digitalulcersandmultipleamputationsinasystemicsclerosispatient AT ruxandraionescu digitalulcersandmultipleamputationsinasystemicsclerosispatient |
_version_ |
1717819492576264192 |