Lower-limb Ulcers in Systemic Sclerosis: A Multicentre Retrospective Case-control Study.

Abstract:

:Lower-limb ulcers in systemic sclerosis patients are rarely reported. The aim of this study was to describe the main causes and outcomes of lower-limb ulcers in systemic sclerosis patients and to assess factors associated with ischaemic causes (arterial disease and/or microvascular impairment). A retrospective, multicentre, case-control study was conducted in 2013 and 2014, including 45 systemic sclerosis patients presenting lower-limb ulcers between 2008 and 2013. The estimated prevalence of lower-limb ulcers among systemic sclerosis patients was 12.8%. Ulcers were related to venous insufficiency in 22 cases (49%), ischaemic causes in 21 (47%) and other causes in 2 (4%). Complete healing was observed in 60% of cases in a mean time of 10.3 months; 59% relapsed during a mean follow-up of 22 months. Ischaemic lower-limb ulcer outcomes were poor, with a 28.6% amputation rate. Logistic-regression multivariate analyses between ischaemic lower-limb ulcer cases and matched systemic sclerosis-controls identified past or concomitant digital ulcer and cutaneous sclerosis of the feet as independent risk factors associated with ischaemic lower-limb ulcers.

journal_name

Acta Derm Venereol

authors

Bohelay G,Blaise S,Levy P,Claeys A,Baudot N,Cuny JF,Maillard H,Granel-Brocard F,Boyé T,Lok C,Bénéton N,Francès C,Senet P

doi

10.2340/00015555-2939

subject

Has Abstract

pub_date

2018-07-11 00:00:00

pages

677-682

issue

7

eissn

0001-5555

issn

1651-2057

journal_volume

98

pub_type

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