Effect of amelogenin ECM protein on the healing of chronic leg ulcers with atrophie blanche.
J Wound Care
; 21(12): 612-4, 2012 Dec.
Article
em En
| MEDLINE
| ID: mdl-23299272
ABSTRACT
OBJECTIVE:
To determine the effect of topically applied amelogenin extracellular matrix protein(AEMP) in patients with non-healing venous leg ulcers combined with atrophie blanche.METHOD:
This retrospective case series of patients with non-healing venous leg ulcers with atrophie blanche of the distal proportion of their lower legs, where non-healing was defined as no progress toward healing for 3 months previously, under standard therapy. Patient records were reviewed for associated diseases, wound diagnoses, distal blood pressure, previous treatments and changes in wound area. Patients were treated with AEMP once a week, for a period of 12 weeks, or until full healing.RESULTS:
Eleven patient records were reviewed retrospectively. The median age of the patients was 81 years (range 40-95 years), with a mean wound size of 4.7 ± 3.Scm2 and median wound duration of 6 months (range 3-444 months).AII patients had venous or combined arterial/venous insufficiency. After 12 weeks' treatment with AEMP, complete healing, defined as I 00% re-epithelialisation, was documented in four patients (36%), marked improvement(> SO% epithelialisation) in three patients (54%, 55% and 83% wound closure, respectively), slight improvement in one patient (9.4% wound closure), no change for two patients and worsening in one.AEMP was well tolerated, and no patients reported side effects.CONCLUSION:
The results of this retrospective study suggest that AEMP improves healing in chronic venous leg ulcers combined with atrophie blanche.
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Base de dados:
MEDLINE
Assunto principal:
Pele
/
Úlcera Varicosa
/
Proteínas da Matriz Extracelular
/
Amelogenina
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Wound Care
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Dinamarca