[Management of digital ulcers from systemic scleroderma].
Digital ulcers are a frequent event in systemic scleroderma. Despite their frequency, there is currently no consensus about their management. Curative treatment is based on local care and vasodilatating agents, together with the prevention of superinfection. Preventive measures require the elimination of risk factors and reeducation. For multiple recurrent ulcers, endothelin receptor inhibitors or prostacyclin derivatives are also prescribed. Surgery is useful in the case of substantial retraction or bothersome calcifications. In all cases, calcium channel blockers are continued.
Francès
Camille
C
Service de dermatologie-allergologie, AP-HP, Hôpital Tenon, F-75020 Paris, France. camille.frances@tnn.aphp.fr
Allanore
Yannick
Y
Cabane
Jean
J
Carpentier
Patrick
P
Dumontier
Christian
C
Hachulla
Eric
E
Hatron
Pierre-Yves
PY
Lipsker
Dan
D
Meaume
Sylvie
S
Mouthon
Luc
L
Senet
Patricia
P
Sibilia
Jean
J
D000698:Analgesia; D000779:Anesthetics, Local / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000175:diagnosis / Q000517:prevention & control; D047070:Bandages, Hydrocolloid; D004599:Electric Stimulation Therapy; D005385:Fingers; D006801:Humans; D012595:Scleroderma, Systemic / Q000150:complications* / Q000628:therapy*; D012883:Skin Ulcer / Q000209:etiology / Q000628:therapy*; D014665:Vasodilator Agents / Q000627:therapeutic use
D000779:Anesthetics, Local; D000900:Anti-Bacterial Agents; D014665:Vasodilator Agents