[Therapy of white atrophy during the hyperalgesic phase or unusual use of cortico steroid therapy in phlebology].
An ischaemic atrophic ulcer is a serious disease because of the pain it causes and because of its lingering course which is due to the poor effectiveness of available treatments. Today, at the first sign of pain (which precedes the ulcer) or in the first 48 hours after the appearance of the ulcer, high dose corticosteroid therapy (0.6 mg/kg Prednisolone) is prescribed for the first few days, reducing over one week to a local corticosteroid treatment (betamethasone cream) Dressings should be changed twice weekly. A splint may be added depending on the seventy of the oedema and sclerosis will be avoided during the hyperalgesic phase.
D001284:Atrophy / Q000188:drug therapy; D006801:Humans; D007866:Leg / Q000473:pathology; D007871:Leg Ulcer / Q000150:complications / Q000188:drug therapy* / Q000628:therapy; D010146:Pain / Q000209:etiology*; D011239:Prednisolone / Q000627:therapeutic use*; D012598:Sclerosis; D013997:Time Factors; D014652:Vascular Diseases / Q000150:complications*
D011239:Prednisolone
Modalités thérapeutiques de l'atrophie blanche en phase hyperalgique ou de l'utilisation exceptionnelle de la corticothérapie en phlébologie.