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Title Uncommon ulcers of the extremities / Ajay K. Khanna, Satyendra Kumar Tiwary, editors
Published Singapore : Springer, 2023

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Description 1 online resource
Contents Intro -- Preface -- Contents -- Editors and Contributors -- About the Editors -- Contributors -- 1: Approach to a Case of Ulcer of Extremity -- 1.1 Prevalence -- 1.2 Relevant Points of Interest -- 1.3 Common Ulcerations Causes (Table 1.1) -- 1.4 Step-Wise Approach -- 1.5 Conclusion -- References -- 2: Hypertensive/Martorell Ulcer -- 2.1 Introduction -- 2.2 Pathogenesis -- 2.3 Clinical Presentation -- 2.4 Differential Diagnosis -- 2.5 Diagnosis -- 2.5.1 Diagnostic Criteria -- 2.6 Histopathological Diagnosis -- 2.7 Management -- 2.8 Skin Grafting -- 2.9 Pain Management
2.10 General Measures -- 2.11 Management of Residual Wounds -- 2.12 Prognosis -- 2.13 Clinical Pearls -- 3: Rheumatoid Ulcers -- 3.1 Introduction -- 3.2 Epidemiology of Rheumatoid Limb Ulcers -- 3.3 Pathogenesis -- 3.3.1 Vasculitis and Inflammation -- 3.3.2 Differential Load Distribution -- 3.3.3 Associated Conditions -- 3.3.4 Iatrogenic -- 3.3.5 Impaired Healing -- 3.4 Clinical Features -- 3.4.1 Vasculitic Ulcers of the Extremities -- 3.4.2 Pyoderma Gangrenosum -- 3.5 Diagnosis -- 3.6 Management -- 3.6.1 Local Wound Care -- 3.6.2 Coverage for Secondary Infections
3.6.3 Systemic Immunosuppression -- 3.6.4 Management of Pyoderma Gangrenosum -- 3.7 Conclusion -- References -- 4: Ulcers in Systemic Sclerosis -- 4.1 Introduction -- 4.1.1 Systemic Sclerosis: Definition and Prevalence -- 4.2 Diagnostic Criteria of Systemic Sclerosis -- 4.2.1 Ulcers in Systemic Sclerosis -- 4.3 Pathogenesis of Vascular Disease in Systemic Sclerosis -- 4.3.1 Pathogenesis of Ulcers -- 4.3.2 Ulcers over the Sites of Calcinosis -- 4.4 Clinical Features -- 4.5 Investigations -- 4.6 Management -- 4.6.1 Lifestyle Changes -- 4.6.2 Drug Treatment
4.6.3 Prostanoids (Level of Evidence: Meta-Analysis) -- 4.6.4 Endothelin Receptor-1 Antagonists (Level of Evidence: Meta-Analysis) -- 4.6.5 Phosphodiesterase Type-5 Inhibitors (Level of Evidence: Meta-Analysis) -- 4.6.6 Calcium Channel Blockers (Level of Evidence: Randomized Controlled Trial) -- 4.6.7 Combination Therapy (Level of Evidence: Case Report) -- 4.6.8 Other Drug Therapies that Have Been Explored -- 4.6.8.1 Statins (Level of Evidence: Randomized Controlled Trial) -- 4.6.8.2 Anticoagulant and Antiplatelet Agents (Level of Evidence: Randomized Controlled Trial)
4.6.9 Surgical Strategies -- 4.6.9.1 General Approach -- 4.6.9.2 Sympathectomy and Injection of Botulinum Toxin (Level of Evidence: Retrospective Case Series and Case Series) -- 4.6.10 Prognosis -- References -- 5: Livedoid Vasculopathy: Clinical, Histopathological, and Therapy Evaluation -- 5.1 Introduction -- 5.2 Our Casuistic -- 5.3 Methods -- 5.4 Results -- 5.5 Discussion -- 5.6 Hallmarks of the Literature -- 5.7 Conclusions -- References -- 6: Ulcers in Hypercoagulable States -- 6.1 Introduction -- 6.2 General Pathogenesis of Cutaneous Ulcers in Hypercoagulable States
Summary The book covers all uncommon ulcers of the extremities which remain a difficult diagnosis for clinicians most of the times. A variety of causes like metabolic, infective, rheumatoid, drug induced or inflammation may lead to ulcerations. Diagnosis of these ulceration is difficult as these diseases are systemic, and treatment is carried out by physicians but ulcers are managed by the surgeons. Any lacunae or gap in assessment or work-up may lead to failure in diagnosis and increased morbidity. This book provides a systematic and step wise approach to the differential diagnosis of every possible uncommon ulcers in the extremities with detailed work-up, flow chart and summary. The book is systematically designed to serve the purpose of covering every possible uncommon ulcer with elaborate clinical presentation in the background of etiology and pathogenesis with risk factors included investigations and treatment with medical, surgical options well discussed as per the requirement. The book includes illustrations, flow diagrams, images, charts and tables. The book provides every information clinically relevant and useful about the uncommon ulcers and serves as a complete resource for general surgeons, vascular surgeons, plastic surgeons, orthopedic surgeons, surgical trainees, family physicians. It may also be useful for podiatrists, phlebologists, radiologists, cardiologists, nephrologists, neurologists, wound care nurses, physicians and primary care workers.
Notes Online resource; title from PDF title page (SpringerLink, viewed October 13, 2023)
Subject Ulcers.
Leg -- Ulcers.
Arm -- Ulcers
Leg Ulcer
Leg -- Ulcers
Ulcers
Form Electronic book
ISBN 9789819917822
9819917824