Introduction: Digital ulcers represent a current public health issue, due to the relevant difficulties in ABSTRACT their management and their tendency to become chronic, non-healing lesions. Objectives: Our case series represents an opportunity to discuss the main comorbidities of digital ulcers and to present an evidence-based treatment protocol that has proved highly effective in our clinical practice. Methods: We collected the clinical data about clinical features, associated diseases and diagnostic therapeutical procedures of 28 patients with digital ulcers referred to our Wound Care Service at S. Orsola-Malpighi Hospital. Results: Digital ulcers were divided into 5 categories, based on the causative agent: peripheral artery disease: 5/16 females and 4/12 males, diabetes-associated wounds: 2/16 females and 1/12 males, mixed wounds: 4/12 males, pressure wounds: 3/16 females and 2/12 males, and immune-mediated diseases associated with wounds: 6/16 females and 1/12 males. Each group received specific management, based on the characteristics of the ulcer and the underlying comorbidities. Conclusions: The clinical evaluation of digital wounds requires a thorough knowledge of their aetiopathogenesis. A multidisciplinary approach is necessary to achieve a precise diagnosis and correct treatment.

Starace M., Orioni G., Alessandrini A., Bruni F., Baraldi C., Misciali C., et al. (2023). Digital Ulcers: Multidisciplinary Approach and Dermatological Management. DERMATOLOGY PRACTICAL & CONCEPTUAL, 13(1), 1-8 [10.5826/dpc.1301a19].

Digital Ulcers: Multidisciplinary Approach and Dermatological Management

Starace M.;Orioni G.;Alessandrini A.;Bruni F.;Baraldi C.;Misciali C.;Piraccini B. M.
2023

Abstract

Introduction: Digital ulcers represent a current public health issue, due to the relevant difficulties in ABSTRACT their management and their tendency to become chronic, non-healing lesions. Objectives: Our case series represents an opportunity to discuss the main comorbidities of digital ulcers and to present an evidence-based treatment protocol that has proved highly effective in our clinical practice. Methods: We collected the clinical data about clinical features, associated diseases and diagnostic therapeutical procedures of 28 patients with digital ulcers referred to our Wound Care Service at S. Orsola-Malpighi Hospital. Results: Digital ulcers were divided into 5 categories, based on the causative agent: peripheral artery disease: 5/16 females and 4/12 males, diabetes-associated wounds: 2/16 females and 1/12 males, mixed wounds: 4/12 males, pressure wounds: 3/16 females and 2/12 males, and immune-mediated diseases associated with wounds: 6/16 females and 1/12 males. Each group received specific management, based on the characteristics of the ulcer and the underlying comorbidities. Conclusions: The clinical evaluation of digital wounds requires a thorough knowledge of their aetiopathogenesis. A multidisciplinary approach is necessary to achieve a precise diagnosis and correct treatment.
2023
Starace M., Orioni G., Alessandrini A., Bruni F., Baraldi C., Misciali C., et al. (2023). Digital Ulcers: Multidisciplinary Approach and Dermatological Management. DERMATOLOGY PRACTICAL & CONCEPTUAL, 13(1), 1-8 [10.5826/dpc.1301a19].
Starace M.; Orioni G.; Alessandrini A.; Bruni F.; Baraldi C.; Misciali C.; Piraccini B.M.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/959066
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