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Hyperbaric oxygen therapy for chronic ulcers in systemic sclerosis - case series.
Bengusu Mirasoglu1, Bekir S Bagli1, Samil Aktas1
1Istanbul Faculty of Medicine, Underwater and Hyperbaric Medicine Department, Istanbul University, Istanbul, Turkey.
Hyperbaric oxygen therapy (HBOT) shows promise for healing painful digital and leg ulcers in systemic sclerosis (SSc) patients. This study suggests HBOT may be a beneficial adjunctive treatment for these challenging, nonhealing wounds.
Area of Science:
- Dermatology
- Vascular Medicine
- Wound Healing
Background:
- Systemic sclerosis (SSc) frequently causes painful, difficult-to-heal digital and leg ulcers.
- Existing treatments for SSc ulcers are often limited in efficacy.
- Hyperbaric oxygen therapy (HBOT) is a potential adjunctive treatment for chronic wounds due to their hypoxic nature.
Purpose of the Study:
- To evaluate the efficacy of HBOT as an adjunctive therapy for ulcers in patients with systemic sclerosis.
Main Methods:
- Retrospective analysis of six systemic sclerosis patients with digital or leg ulcers.
- Evaluation of patient demographics, ulcer characteristics, and treatment details.
- Assessment of outcomes following the application of HBOT.
Main Results:
- Four out of six patients experienced complete ulcer healing after HBOT.
- Two patients achieved near-complete healing of their ulcers.
- No amputations were required for any of the patients in the study.
Conclusions:
- Adjunctive HBOT may be a beneficial treatment for systemic sclerosis-related ulcers.
- This case series represents the largest patient population studied for HBOT in SSc ulcers to date.
- HBOT offers a potential therapeutic option for nonhealing SSc wounds.
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