Abstract:
:Digital ulcers (DUs) represent one of the major burdens for patients with systemic sclerosis (SSc), especially when associated with skin calcinosis (SC). The aim of this work is to evaluate the impact of SC in DUs of patients with SSc for clinical characteristics and prognosis assessed by the wound bed score (WBS). We prospectively enrolled 55 patients with DUs and SSc followed in our dedicated wound care clinic. For all the patients we collected clinical and anthropometric data and characteristics of the DU, and we calculated the WBS for each DU. Ninety-nine DUs were evaluated (24 with SC). SC was prevalent in limited cutaneous SSc (75%) and in patients with longer disease duration (P = 0.02). SC-DUs were prevalent at the fingertip (P = 0.04). The healing time was significantly higher in patients with SC (10.4 ± 7.9 weeks) compared with non-SC (7.0 ± 5.7 weeks) P = 0.03. The WBS negatively correlated with the time to achieve complete healing (r = -0.237 P = 0.023) and the correlation was maintained in the non-SC (r = -0.46, P = 0.033). DUs in SSc patients with SC are common and difficult to heal. When DUs are treated in dedicated centres, the prognosis is good. The WBS is fast and easy and maybe commonly applied in clinical practice.
journal_name
Int Wound Jjournal_title
International wound journalauthors
Barsotti S,Venturini V,Di Battista M,Janowska A,Dini V,Della Rossa A,Mosca Mdoi
10.1111/iwj.13467subject
Has Abstractpub_date
2020-12-01 00:00:00pages
1783-1790issue
6eissn
1742-4801issn
1742-481Xjournal_volume
17pub_type
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journal_title:International wound journal
pub_type: 杂志文章,多中心研究
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journal_title:International wound journal
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journal_title:International wound journal
pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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journal_title:International wound journal
pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2016-12-01 00:00:00
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journal_title:International wound journal
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2007-03-01 00:00:00
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journal_title:International wound journal
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更新日期:2014-04-01 00:00:00
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