Repeated treatment with lidocaine/prilocaine cream (EMLA) as a topical anaesthetic for the cleansing of venous leg ulcers. A controlled study.

Abstract:

:Repeated topical analgesia with EMLA 5% cream prior to the cleansing of venous leg ulcers was studied. Patients were randomly allocated to a series of 8 treatments with EMLA (n = 22) or to a control group (n = 21). A thick layer of the cream was applied to the ulcers for 30 min. At each of the 8 treatments, local reactions were assessed on a 4-point scale and pain from ulcer cleansing on a visual analogue scale. At the first and the last treatment the area of the ulcer was determined by mapping, a sample for a bacterial culture was taken and the amount of dead tissue, slough and granulation tissue present was assessed. Treatment with EMLA for 30 min significantly decreased the pain from cleansing of the leg ulcers and the frequency of post-cleansing pain. The analgesic effect remained unchanged with successive treatments. Repeated treatment with EMLA in leg ulcers would appear to be safe, as indicated by the absence of any serious untoward events. No statistically significant differences in local reactions or adverse effects on granulation tissue, ulcer area or bacterial flora were observed in the EMLA-treated patients compared with the control patients.

journal_name

Acta Derm Venereol

authors

Hansson C,Holm J,Lillieborg S,Syrén A

doi

10.2340/000155555573231233

subject

Has Abstract

pub_date

1993-06-01 00:00:00

pages

231-3

issue

3

eissn

0001-5555

issn

1651-2057

journal_volume

73

pub_type

临床试验,杂志文章,随机对照试验
  • Effect of acupuncture on experimentally induced itch.

    abstract::We evaluated the effect of acupuncture on histamine-induced itch and flare in healthy volunteers (n = 25) and compared it with the effect of a pseudo-acupuncture procedure and of no-intervention in a single-blind randomized cross-over study. A cumulative itch index is defined and was found to be smaller with acupunctu...

    journal_title:Acta dermato-venereologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Belgrade MJ,Solomon LM,Lichter EA

    更新日期:1984-01-01 00:00:00

  • Assessing health-related quality of life in hand eczema patients: how to overcome psychometric faults when using the dermatology life quality index.

    abstract::Health-related quality of life (HRQOL) has become an important patient reported outcome in health service research. The dermatology life quality index (DLQI) is the most commonly used instrument in dermatology. In recent years, the psychometric properties of the DLQI have been a subject of debate as requirements of mo...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.2340/00015555-1842

    authors: Ofenloch RF,Diepgen TL,Weisshaar E,Elsner P,Apfelbacher CJ

    更新日期:2014-11-01 00:00:00

  • Acute allergic reactions to Anisakis simplex after ingestion of anchovies.

    abstract::Anisakis simplex is a seafish nematode, which is responsible for the well-known human infection (anisakiasis) and can induce IgE-mediated reactions. IgE sensitization to Anisakis simplex can be frequent in particular countries and should be suspected in patients with acute allergic symptoms after ingestion of fish. Th...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.1080/00015550252948167

    authors: Foti C,Nettis E,Cassano N,Di Mundo I,Vena GA

    更新日期:2002-01-01 00:00:00

  • Expression of CCR2 on monocytes and macrophages in chronically inflamed skin in atopic dermatitis and psoriasis.

    abstract::Monocytes form a significant component of the inflammatory reaction taking place in the skin of atopic dermatitis and psoriasis. Chemokines are pivotal in mediating the attraction of leucocytes to sites of inflammation. The CC-chemokine, monocyte chemotactic protein 1 (MCP-1/CCL2), is expressed by keratinocytes in bot...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.1080/00015550410034444

    authors: Vestergaard C,Just H,Baumgartner Nielsen J,Thestrup-Pedersen K,Deleuran M

    更新日期:2004-01-01 00:00:00

  • The effect of occlusive treatment on human skin: an electron microscopic study on epidermal morphology as affected by occlusion and dansyl chloride.

    abstract::The effect of occlusion on epidermal morphology was studied at electron microscopic resolution. the morphological changes recorded were relatively mild, though conspicuous, and consisted in dilatation of the intercellular space, appearance of cytoplasmic vacuoles and an oedematous change in the dermis. Stereological a...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:

    authors: Lindberg M,Johannesson A,Forslind B

    更新日期:1982-01-01 00:00:00

  • Different roles of capsaicin-sensitive and H1 histamine receptor-expressing sensory neurones in itch of mosquito allergy in mice.

    abstract::Although mosquito allergy induces the release of histamine, the itch-related response, scratching, is not effectively suppressed by blockade of H1 histamine receptors. To address this question, we examined the effects of neonatal capsaicin treatment on allergic reactions and H1 histamine receptor-expressing sensory ne...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.2340/00015555-0479

    authors: Nakano T,Andoh T,Sasaki A,Nojima H,Kuraishi Y

    更新日期:2008-01-01 00:00:00

  • Comparison of clinical and computerized image analyses in the assessment of skin ageing in smokers and non-smokers.

    abstract::Tobacco smoke and UV radiation are extrinsic risk factors for accelerated skin ageing. In this study the effects of smoking on wrinkling and ageing were assessed in males living in Northern Finland, where cumulative sun exposure is low. Smoking habits, age and facial wrinkling were estimated from facial photographs of...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.1080/00015550410014969

    authors: Raitio A,Kontinen J,Rasi M,Bloigu R,Röning J,Oikarinen A

    更新日期:2004-01-01 00:00:00

  • Evaluation of a Rapid, Fully Automated Platform for Detection of BRAF and NRAS Mutations in Melanoma.

    abstract::BRAF and NRAS genetic analyses are time-consuming and can delay treatment choices in patients with metastatic melanomas presenting with acute deterioration. We compared the rapid, real-time, fully automated molecular diagnosis platform Idylla™ with next-generation sequencing (NGS) and immunohistochemistry for detectio...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.2340/00015555-2738

    authors: Barel F,Guibourg B,Lambros L,Le Flahec G,Marcorelles P,Uguen A

    更新日期:2018-01-12 00:00:00

  • Carvone Contact Allergy in Southern Sweden: A 21-year Retrospective Study.

    abstract::Carvone (l-carvone), a mint flavour in spearmint oil, is considered a mild skin sensitizer. Carvone-sensitization may be linked to oral/perioral signs and oral lichen planus, but studies are sparse. The prevalence of patch test reactions to carvone and relevant findings from the positive group were investigated. Recor...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.2340/00015555-3009

    authors: Kroona L,Isaksson M,Ahlgren C,Dahlin J,Bruze M,Warfvinge G

    更新日期:2018-11-05 00:00:00

  • Urinary 5-S-cysteinyldopa in Parkinsonism after DOPA and carbidopa.

    abstract::The effect of anti-Parkinson therapy on the urinary excretion of 5-S-cysteinyldopa (5SCD), a catechol metabolite of dihydroxyphenylalanine (DOPA) and marker for the melanocyte, was studied by means of high performance liquid chromatography. 5SCD was normal in Parkinson patients treated with anticholinergics. DOPA admi...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:

    authors: Stewart RM,Miller S,Gunder M

    更新日期:1983-01-01 00:00:00

  • The MicroRNA Expression Profile Differs Between Erythrodermic Mycosis Fungoides and Sézary Syndrome.

    abstract::It is difficult to distinguish erythrodermic mycosis fungoides from Sézary syndrome due to their similar clinical and histological features. The main purpose of this study was to investigate whether microRNA expression profiles in lesional skin could discriminate patients with erythrodermic mycosis fungoides from thos...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.2340/00015555-3306

    authors: Rittig AH,Lindahl LM,Johansen C,Celis P,Ødum N,Iversen L,Litman T

    更新日期:2019-11-01 00:00:00

  • Skin sensitization to cinnamic alcohol: the role of skin metabolism.

    abstract::Cinnamic alcohol and cinnamic aldehyde are a cause of allergic contact dermatitis in man and give rise to similar rates of positive reactions in routine patch testing. However, data from animal models indicates that the aldehyde is the stronger sensitizer of the two. Circumstantial evidence has pointed to the conversi...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:102340/0001555572264265

    authors: Basketter DA

    更新日期:1992-08-01 00:00:00

  • Cryosectioning of hair follicles. An improved method using liquid nitrogen conduction freezing.

    abstract::Horizontal sectioning of scalp biopsies is especially useful in hair diseases characterized by a reduction of follicles in size or number. Horizontal sectioning using standard cryo-microtomes is hampered by the differences in cutting properties between hair follicles and fatty tissue, resulting in loss of topography. ...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:102340/0001555570335338

    authors: Van Baar HM,Schalkwijk J,Perret CM

    更新日期:1990-01-01 00:00:00

  • Upregulation of RANTES in psoriatic keratinocytes: a possible pathogenic mechanism for psoriasis.

    abstract::Intraepidermal collections of neutrophils and lymphocytes are unique features of the inflammatory reaction of psoriasis. Migration of leukocytes from dermis to the epidermis suggests a role for chemotactic agent(s). In recent years, increased levels of chemokines such as IL-8 , GRO-a and MCP-1 have been reported in th...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.1080/000155599750011615

    authors: Raychaudhuri SP,Jiang WY,Farber EM,Schall TJ,Ruff MR,Pert CB

    更新日期:1999-01-01 00:00:00

  • 5-S-cysteinyldopa as a substrate for tyrosinase.

    abstract::Oxidation of 5-S-cysteinyldopa by mushroom tyrosinase was studied by measuring 5-S-cysteinyldopa consumption with HPLC. 5-S-cysteinyldopa was found to be a substrate for tyrosinase, but our results suggests that a self-catalysed oxidation induced by enzymatically formed 5-S-cysteinyl dopaquinone also takes place. Dopa...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:

    authors: Hansson C,Rorsman H,Rosengren E

    更新日期:1980-01-01 00:00:00

  • Immunoglobulin E in psoriasis evaluated by paper radioimmunosorbent and paper enzyme-immunosorbent tests.

    abstract::Serum IgE concentrations were determined by the paper radioimmunosorbent test in 56 patients with psoriasis and 50 normal controls, and by the paper enzyme-immunosorbent test in 32 of these patients and 50 controls. Elevated IgE levels were found in 26 (46%) of 56 patients with psoriasis and in 1 normal control (2%). ...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:

    authors: Chen ZY,Ainsworth SK,Khan T,Pilia PA,Dobson RL

    更新日期:1985-01-01 00:00:00

  • Abnormal cutaneous reactions in dermatitis herpetiformis.

    abstract::In 94% of the patients with dermatitis herpetiformis, a locally applied ointment with an ester of nicotinic acid (Trafuril) induced an abnormal reaction with erythema, edema, papules, and often vesicles. The appearance of the reaction to Trafuril is similar to DH lesions. It differs markedly from the reactions to iodi...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:

    authors: Michaëlsson G,Svensson L

    更新日期:1975-01-01 00:00:00

  • Aggravation of psoriasis and occurrence of psoriasiform cutaneous eruptions induced by practolol (Eraldin).

    abstract::Twelve patients with cutaneous and/or eye symptoms caused by practolol have been studied. The morphological appearance of the skin eruptions was psoriasiform in 5, vesiculo-papular in one, and exfoliating dermatitis was seen in 2 patients. Keratoconjunctivitis sicca was the only adverse reaction to practolol in one an...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:

    authors: Sondergaard J,Wadskov S,Jensen HA,Mikkelsen HI

    更新日期:1976-01-01 00:00:00

  • Hypersensitivity reactions to dapsone: a systematic review.

    abstract::Dapsone is widely used in the treatment of leprosy and several chronic inflammatory dermatological conditions. Hypersensitivity reactions to dapsone are potentially fatal adverse drug reactions with unknown prevalence and risk factors. We performed a systematic review covering all reported cases of hypersensitivity re...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章,评审

    doi:10.2340/00015555-1268

    authors: Lorenz M,Wozel G,Schmitt J

    更新日期:2012-03-01 00:00:00

  • Frequency of bacteria, Candida and malassezia species in balanoposthitis.

    abstract::Balanoposthitis is an inflammatory disorder of the prepuce and glans penis. Microbes involved in balanoposthitis have been investigated, but no single study has covered the growth of both bacteria, Candida and Malassezia. We report here the prevalence of these microbes in 100 patients with balanoposthitis and in 26 co...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.2340/00015555-0478

    authors: Alsterholm M,Flytström I,Leifsdottir R,Faergemann J,Bergbrant IM

    更新日期:2008-01-01 00:00:00

  • An Unusual Case of Cocaine-induced Neutrophilic Systemic Disease.

    abstract::is missing (Short communication). ...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.2340/00015555-3676

    authors: Dumont S,Toutous Trellu L,Alberto C

    更新日期:2020-11-04 00:00:00

  • Assessment of atrophy of human skin caused by corticosteroids using chamber occlusion and suction blister techniques.

    abstract::The effect of five corticosteroid ointments on epidermal thickness was studied using occlusive chamber application. Thinning of the epidermis and telangiectasia were noted 3 weeks after application of betamethasone-17-valerate (BV), budesonide (BD), clobetasol-17-propionate (CP), and fluocinolone acetonide (FA), but n...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:

    authors: Somerma S,Lassus A,Salde L

    更新日期:1984-01-01 00:00:00

  • Melanin-related metabolites in urine of B16 melanoma-bearing mice.

    abstract::5-S-Cysteinyldopa (5-S-CD), a pheomelanin precursor, has been used as a biochemical marker of melanoma metastasis. Recently, 5-hydroxy-6-methoxyindole-2-carboxylic acid (5H6MI2C), a eumelanin-related metabolite, was shown to reflect well the degree of skin pigmentation. We measured the urinary excretion of 5H6MI2C and...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:

    authors: Wakamatsu K,Ito S,Fujita K

    更新日期:1988-01-01 00:00:00

  • Teledermatological monitoring of psoriasis patients on biologic therapy.

    abstract::Patients with psoriasis who are being treated with biologics require intensive monitoring. However, the monitoring tool teledermatology is not commonly used. We investigated the applicability of a mobile phone based teledermatological system for monitoring psoriasis patients on biologic therapy. Nineteen patients were...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.2340/00015555-1148

    authors: Koller S,Hofmann-Wellenhof R,Hayn D,Weger W,Kastner P,Schreier G,Salmhofer W

    更新日期:2011-10-01 00:00:00

  • Minocycline modulation of alpha-MSH production by keratinocytes in vitro.

    abstract::The anti-inflammatory mechanisms of minocycline, an antibiotic used in the treatment of the inflammatory component of acne, are only partially understood. In addition to inflammation due to cytokines (IL-1, IL-6, TNF-alpha, etc.), recent studies have shown that neuropeptide-mediated neurogenic inflammation may play an...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.1080/000155599750010625

    authors: Sainte-Marie I,Tenaud I,Jumbou O,Dréno B

    更新日期:1999-07-01 00:00:00

  • Unusual structures in the epidermal Langerhans' cells of normal human skin.

    abstract::Two unusual structures were found in the epidermal Langerhans' cells of normal human adult skin: (1) an intramitochondrial crystalline lattice structure composed of numerous electron-dense, fine particles approximately 90 A in diameter, with a lucent spacing of nearly 90 A; (2) bundles of unusual cytoplasmic tubular s...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:

    authors: Morohashi M,Hashimoto K

    更新日期:1981-01-01 00:00:00

  • Eosinophilic cellulitis (Wells' syndrome) associated with ascariasis.

    abstract::A case of eosinophilic cellulitis (Wells' syndrome) in association with ascariasis is described. The clinical and histopathologic features of the patient responded well to an oral anthelminthic drug. According to our search, this association has not previously been reported. ...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.2340/0001555574292294

    authors: Tsuda S,Tanaka K,Miyasato M,Nakama T,Sasai Y

    更新日期:1994-07-01 00:00:00

  • Herpes simplex infection simulating a positive auto-inoculation for Haemophilus ducreyi.

    abstract::Auto-inoculation from a genital ulcer suspected of being ulcus molle gave redness after 24 hours and after 48 hours vesicles and pustules appeared. Cultivation from the auto-inoculation after the 48 hours was positive for herpes simplex virus type 2. Our observation underlines two points: auto-inoculation for the diag...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:

    authors: Jørgensen J,Menné T

    更新日期:1982-01-01 00:00:00

  • Henoch-Schönlein purpura: clinicopathologic correlation of cutaneous vascular IgA deposits and the relationship to leukocytoclastic vasculitis.

    abstract::Significant cutaneous vascular IgA deposits are common in Henoch-Schönlein purpura but not in other vasculitides. The specificity for IgA vascular deposits for Henoch-Schönlein purpura is not well defined. To examine the specificity of IgA vascular deposits for this disease, we compared clinicopathologic features of 9...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.2340/0001555575125129

    authors: Helander SD,De Castro FR,Gibson LE

    更新日期:1995-03-01 00:00:00

  • Clinical aspects of itch in adult atopic dermatitis patients.

    abstract::Although pruritus is an essential symptom of atopic dermatitis, its complex pathomechanism is not fully understood. The aim of this study was to characterize the clinical pattern of itch in adult subjects with atopic dermatitis. A total of 89 patients (59 females, 30 males) with atopic dermatitis, age range 18-60 year...

    journal_title:Acta dermato-venereologica

    pub_type: 杂志文章

    doi:10.2340/00015555-0676

    authors: Chrostowska-Plak D,Salomon J,Reich A,Szepietowski JC

    更新日期:2009-01-01 00:00:00