title: Nested Graft for Acral Lichen Sclerosus of the Feet: A Surgical Treatment for an Inflammatory Disease.
abstract: The "nested graft" is an innovative and well-defined surgical technique used for chronic wound healing that induces the de-senescence of fibroblasts in the wound bed. We report a case of a 76-year-old man affected by plantar chronic wounds because of acral lichen sclerosus and atrophicus localized at both feet and treated for many years successfully with immunosuppressive agents. For cardiological dysfunction, systemic therapy was reduced to low dosage of steroids with an increase of ulcerations (5 × 2 cm). So we decided to perform the nested graft on the plantar region. After the surgical procedure, all the grafted ulcers healed, and at a 4-month follow-up, no signs of lichen sclerosus were present.
authors.affiliation: Department of Dermatology, A.O. Spedali Civili, University of Brescia, Brescia, Italy.
authors.forename: Giulio
authors.initials: G
authors.lastname: Gualdi
authors.affiliation: Department of Dermatology, A.O. Spedali Civili, University of Brescia, Brescia, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Monari
authors.affiliation: Department of Dermatology, A.O. Spedali Civili, University of Brescia, Brescia, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Pelizzari
authors.affiliation: Department of Dermatology, A.O. Spedali Civili, University of Brescia, Brescia, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Cammalleri
authors.affiliation: Department of Dermatology, A.O. Spedali Civili, University of Brescia, Brescia, Italy.
authors.forename: Piergiacomo
authors.initials: P
authors.lastname: Calzavara-Pinton