Complex wound healing in a complex patient

Cutaneous vasculitis presents a significant challenge to wound care specialists with the potential to result in large areas of dermal necrosis complicated by multisystem pathology leading to poor physiological reserve and treatment options that arrest normal healing. Both surgical and conservative management needs to be flexible as plans can be derailed by the fluctuating course of disease. In this case the application of a synthetic dermal substitute, NovoSorb ® Biodegradable Temporizing Matrix (BTM), and ongoing structured assessment using TIMERS and wound standards of care achieved unexpected positive results.