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Hand and Foot Blisters - Can You Recognize the Usual from the Unusual? 手足水疱--您能辨别常见与异常吗？
IF 1.7 4区 医学
Advances in Skin & Wound Care Pub Date : 2024-08-01 DOI: 10.1097/ASW.0000000000000191
{"title":"Hand and Foot Blisters - Can You Recognize the Usual from the Unusual?","authors":"","doi":"10.1097/ASW.0000000000000191","DOIUrl":"10.1097/ASW.0000000000000191","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 8","pages":"398"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adherence to Self-care and Quality of Life of Patients with Diabetic Foot Ulcers Treated with Low-Level Laser Therapy: An Exploratory Study. 低强度激光疗法治疗糖尿病足溃疡患者的自我护理依从性和生活质量：一项探索性研究
IF 1.7 4区 医学
Advances in Skin & Wound Care Pub Date : 2024-08-01 DOI: 10.1097/ASW.0000000000000189
Cristiana Maria Dos Santos, Pedro Renan de Souza Lima da Silveira, Rebeca Barbosa da Rocha, Fernanda Mello da Silva Sousa, Rayana Fontenele Alves, Ana Carolina Silva Barros, Vinicius Saura Cardoso
{"title":"Adherence to Self-care and Quality of Life of Patients with Diabetic Foot Ulcers Treated with Low-Level Laser Therapy: An Exploratory Study.","authors":"Cristiana Maria Dos Santos, Pedro Renan de Souza Lima da Silveira, Rebeca Barbosa da Rocha, Fernanda Mello da Silva Sousa, Rayana Fontenele Alves, Ana Carolina Silva Barros, Vinicius Saura Cardoso","doi":"10.1097/ASW.0000000000000189","DOIUrl":"10.1097/ASW.0000000000000189","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the quality of life (QoL) of patients with a diabetic foot ulcer undergoing treatment with low-level laser therapy (LLLT) at 904 nm and its association with self-care.</p><p><strong>Methods: </strong>In this randomized, exploratory study, participants were divided into the following four groups: control group (CG) with LLLT placebo, LLLT group 1 (LG1) at 10 J/cm2, LLLT group 2 (LG2) at 8 J/cm2, and LLLT group 3 (LG3) at 4 J/cm2. Participants received light therapy (or placebo) twice a week, for a total of 20 sessions. Researchers assessed participants' QoL using the Short-Form 36 questionnaire.</p><p><strong>Results: </strong>Sixty-two participants were included in the analysis (CG = 18, LG1 = 14, LG2 = 17, LG3 = 13). The LG1 group showed a higher proportion of healing, whereas the CG group showed a lower proportion than the other groups. The LG1 group showed a relationship between physical limitations and blood glucose monitoring, pain and foot care, and general health status (GHS) and foot care. The GL2 group showed a relationship between physical limitations and blood glucose monitoring, vitality and foot care, and GHS and diet.</p><p><strong>Conclusions: </strong>Low-level laser therapy had a positive impact on QoL as assessed by the Short-Form 36 questionnaire (functional capacity, vitality, and pain domains), and there was a positive association between QoL and self-care in the LLLT groups (physical limitations, pain, GHS, and vitality domains).</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 8","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Necrosis and Changes in Pigmentation Following Silver Nitrate Application: A Case Report. 应用硝酸银后的坏死和色素变化：病例报告
IF 1.7 4区 医学
Advances in Skin & Wound Care Pub Date : 2024-08-01 DOI: 10.1097/ASW.0000000000000175
Mariam AlAfeefi, Mohammed Al Numairy, Ammar Al Dhamin
{"title":"Necrosis and Changes in Pigmentation Following Silver Nitrate Application: A Case Report.","authors":"Mariam AlAfeefi, Mohammed Al Numairy, Ammar Al Dhamin","doi":"10.1097/ASW.0000000000000175","DOIUrl":"10.1097/ASW.0000000000000175","url":null,"abstract":"<p><strong>Abstract: </strong>Silver nitrate has useful antimicrobial and anti-inflammatory effects. However, there are currently no guidelines in place for its use in cauterization and the management of hemostasis. This lack of guidelines has resulted in different approaches being taken in outpatient and healthcare settings, which can lead to a higher risk of adverse effects. The authors present a case that illustrates a classic but exaggerated adverse effect following silver nitrate application.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 8","pages":"1-2"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Diabetic Foot Ulcers with Two Forefoot Offloading Techniques: Case Series. 用两种前足负重技术治疗糖尿病足溃疡：病例系列。
IF 1.7 4区 医学
Advances in Skin & Wound Care Pub Date : 2024-08-01 DOI: 10.1097/ASW.0000000000000178
Leslie J Dunlap, Eric Lew, Regina Gallegos, Richard Murdoch, Simone Mulvihill
{"title":"Management of Diabetic Foot Ulcers with Two Forefoot Offloading Techniques: Case Series.","authors":"Leslie J Dunlap, Eric Lew, Regina Gallegos, Richard Murdoch, Simone Mulvihill","doi":"10.1097/ASW.0000000000000178","DOIUrl":"10.1097/ASW.0000000000000178","url":null,"abstract":"<p><strong>Abstract: </strong>Offloading is a key principle to healing diabetic foot ulcers. Nonremovable knee-high offloading devices are considered the criterion standard for offloading plantar forefoot ulcers. However, patients exhibit a limited tolerance for these devices, which contributes to a lack of use. In this case series describing two patients, the authors share two alternative offloading modalities for the treatment of diabetic plantar forefoot ulcers. One patient was managed using a football offloading dressing, and the other was managed with a modified felted football dressing. The football and modified felted football offloading dressings provide a cost-effective, less time-consuming application and often are a better-tolerated alternative to nonremovable knee-high offloading devices. Clinical findings support further investigation into dressing options tolerated by patients with improved adherence and optimal healing outcomes.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 8","pages":"434-439"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Blistering Disorders of the Foot. 足部水疱病
IF 1.7 4区 医学
Advances in Skin & Wound Care Pub Date : 2024-08-01 DOI: 10.1097/ASW.0000000000000190
Laura Swoboda
{"title":"Blistering Disorders of the Foot.","authors":"Laura Swoboda","doi":"10.1097/ASW.0000000000000190","DOIUrl":"10.1097/ASW.0000000000000190","url":null,"abstract":"<p><strong>Abstract: </strong>Multiple pathophysiologic and biomolecular processes lead to bullae, including disruption of adhesion molecules, accumulation of cell injury, and traumatic injury. Blistering disorders of the foot can cause symptoms such as pruritus, pain, and drainage and significantly impact quality of life. Microbiologic and histopathologic examination of tissue specimens should be considered for concerns regarding atypical etiology.This retrospective case series describes patients seen in a community hospital outpatient wound center in southeastern Wisconsin between January 2021 and June 2023 for atypical blistering disorders of the foot. The cases herein describe the history, clinical presentation, and treatment of three atypical blistering disorders of the foot. An 86-year-old man presented complaining of intensely pruritic blistering lesions to both feet. Histopathologic findings indicated eosinophilic infiltrate, and the patient was treated for an eosinophilic drug reaction. A 65-year-old man presented complaining of multiple painful blisters to the plantar aspect of both feet. Histopathologic examination of unroofed blister indicated bullous tinea. Finally, a 44-year-old man with long-standing type 1 diabetes presented complaining of a several-week history of a single blister to his anterior right foot of unknown etiology. The patient was diagnosed with bullosis diabeticorum.Blistering disorders of the foot are diagnostic challenges; diagnostic clarity is assisted by thorough history, clinical presentation, treatment response, microbial analysis, and histopathologic findings.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 8","pages":"429-433"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of Chronic Parastomal Ulceration with Silver Sulfadiazine and Hyaluronic Acid: Two Case Reports. 用磺胺嘧啶银和透明质酸治疗慢性副乳溃疡：两个病例报告
IF 1.7 4区 医学
Advances in Skin & Wound Care Pub Date : 2024-08-01 DOI: 10.1097/ASW.0000000000000133
Alison Carlin
{"title":"Treatment of Chronic Parastomal Ulceration with Silver Sulfadiazine and Hyaluronic Acid: Two Case Reports.","authors":"Alison Carlin","doi":"10.1097/ASW.0000000000000133","DOIUrl":"10.1097/ASW.0000000000000133","url":null,"abstract":"<p><strong>Abstract: </strong>Skin complications in individuals with an ostomy are widely reported and can cause physical and emotional challenges in everyday life. Chronic parastomal skin complications can be difficult to heal and cause significant pain.Two patients presented to the stomal therapy clinic for treatment and were diagnosed with chronic parastomal skin ulceration. Following standard treatment of wound management, topical corticosteroid ointment, and appliance review, the ulcers either were not improving or had reoccurred. Treatment with a combination cream consisting of 0.2% hyaluronic acid and 1% silver sulfadiazine was initiated, and both patients demonstrated complete healing.Treatment of parastomal skin ulceration with dual-action cream 0.2% hyaluronic acid and 1% silver sulfadiazine was successful for these two patients, with a reduction in pain and purulent fluid noted throughout treatment, in addition to a reduced cost of treatment when compared with standard protocols.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 8","pages":"444-447"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Repairing Exposed Tendon Wounds with Absorbable Gelatin Sponges and Autologous Split-Thickness Skin Grafts: A Case Series. 用可吸收明胶海绵和自体切口皮肤移植修复裸露的肌腱伤口：病例系列。
IF 1.7 4区 医学
Advances in Skin & Wound Care Pub Date : 2024-07-01 DOI: 10.1097/ASW.0000000000000166
Gang Jing, LinLin Wang
{"title":"Repairing Exposed Tendon Wounds with Absorbable Gelatin Sponges and Autologous Split-Thickness Skin Grafts: A Case Series.","authors":"Gang Jing, LinLin Wang","doi":"10.1097/ASW.0000000000000166","DOIUrl":"10.1097/ASW.0000000000000166","url":null,"abstract":"<p><strong>Abstract: </strong>Conventional flap repair surgery has several drawbacks, including operational complexity, donor site damage, and high risk. In this case series, the authors explored an alternative approach for repairing exposed tendon wounds caused by trauma using absorbable gelatin sponges (AGSs) and autologous thigh skin grafts. This report presents two cases of lower-extremity skin necrosis with tendon exposure following wound debridement. The treatment approach involved early debridement, negative-pressure wound therapy, and wound irrigation with 0.9% sodium chloride. Upon achieving controlled wound infection, AGSs were applied to the exposed tendon to prevent degeneration and promote wound healing. Subsequently, areas where granulation tissue failed to cover the tendon were repaired using AGSs and 0.25-mm-thick autologous mesh skin grafts harvested from the thigh. Complete wound healing was achieved in both cases, on the 20th and 12th day after skin grafting, respectively. The proposed method proved successful in repairing exposed tendon wounds, effectively preventing infection and necrosis.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 7","pages":"1-5"},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comply With Coverage! 遵守承保范围！
IF 1.7 4区 医学
Advances in Skin & Wound Care Pub Date : 2024-07-01 DOI: 10.1097/ASW.0000000000000170
Kathleen D Schaum
{"title":"Comply With Coverage!","authors":"Kathleen D Schaum","doi":"10.1097/ASW.0000000000000170","DOIUrl":"10.1097/ASW.0000000000000170","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 7","pages":"344-345"},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Tub Bathing on the Skin and Bilirubin Levels of Babies Receiving Tunnel and Light-Emitting Diode Phototherapies: A Randomized Controlled Trial. 浴缸沐浴对接受隧道和发光二极管光疗婴儿的皮肤和胆红素水平的影响：随机对照试验
IF 1.7 4区 医学
Advances in Skin & Wound Care Pub Date : 2024-07-01 DOI: 10.1097/ASW.0000000000000163
Serap Özdemir, Serap Balci
{"title":"The Effect of Tub Bathing on the Skin and Bilirubin Levels of Babies Receiving Tunnel and Light-Emitting Diode Phototherapies: A Randomized Controlled Trial.","authors":"Serap Özdemir, Serap Balci","doi":"10.1097/ASW.0000000000000163","DOIUrl":"10.1097/ASW.0000000000000163","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of tub bathing on the skin and bilirubin levels of newborns receiving tunnel and light-emitting diode phototherapy.</p><p><strong>Methods: </strong>In this randomized controlled trial, hospitalized newborns diagnosed with hyperbilirubinemia treated with a tunnel or light-emitting diode device were randomly assigned to either the experimental (bath) or control (no bath) groups using a computer program. The skin integrity moisture balance of all groups was recorded using the Newborn Skin Condition Score at 6, 12, and 24 hours after phototherapy, and their total serum bilirubin measurements were evaluated.</p><p><strong>Results: </strong>A statistically significant difference was observed in the babies' total serum bilirubin levels; this decrease was the highest in the experimental groups. Further, the skin integrity-moisture balance was higher in the experimental groups than in the control groups; it was highest in the tunnel-experimental group and lowest in the tunnel control group.</p><p><strong>Conclusions: </strong>These results show that bathing is effective in reducing total bilirubin levels. This study adds to the evidence on skin integrity and moisture balance in newborns who were bathed during phototherapy.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 7","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Grade IV Radiation Skin Injury on the Neck of a Patient with Tonsillar Carcinoma: A Case Report. 扁桃体癌患者颈部的 IV 级放射皮肤损伤：病例报告。
IF 1.7 4区 医学
Advances in Skin & Wound Care Pub Date : 2024-07-01 DOI: 10.1097/ASW.0000000000000173
Li Zhang, Sicong Liu
{"title":"Grade IV Radiation Skin Injury on the Neck of a Patient with Tonsillar Carcinoma: A Case Report.","authors":"Li Zhang, Sicong Liu","doi":"10.1097/ASW.0000000000000173","DOIUrl":"10.1097/ASW.0000000000000173","url":null,"abstract":"<p><strong>Abstract: </strong>Radiation therapy is often accompanied by skin toxicity in the irradiated area and radiation-induced DNA damage to skin tissue cells in the surrounding pigmented area. This case report describes a patient with radiation-induced skin injury who received wound treatment and psychological intervention with satisfactory results. A 60-year-old woman was admitted to the authors' hospital on January 18, 2021, with radiation-induced skin injury caused by carbon ion radiotherapy for tonsillar carcinoma. The patient underwent wound repair combined with psychological intervention (30 minutes per dressing change). Over a period of 1 month, the wound area was reduced from 11 × 12 cm2 to 1 × 1 cm2, and wound symptoms (exudate, blood odor, wound infection, wound edge dehydration and curling, periwound skin peeling, dryness, and hyperkeratosis) improved. The patient's anxiety factor scores decreased from 18 to 1, and her depression factor scores decreased from 16 to 3. When the patient was discharged from the hospital after 1 month of treatment, she had a satisfactory self-image and normal social activities.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 7","pages":"1-4"},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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