Resumen

URBANO ZAMBRANO, Andrés Paúl et al. Managing foot ulcers as a clinical manifestation of systemic sclerosis. Rev Cuba Reumatol [online]. 2020, vol.22, n.3, e480.  Epub 01-Dic-2020. ISSN 1817-5996.

Ulcers can occur on bony bumps, such as the proximal phalanges or elbows, but are more likely to be secondary to tight skin and trauma and not responsive to vasodilator therapy. All ulcers are characteristically very painful. To present aspects related to the management of digital ulcers in scleroderma based on the experience of different authors. The management of digital ulcers in scleroderma includes non-pharmacological, pharmacological and surgical intervention. The use of nitrates, infusions of acetylcysteine, Vitamin E Gel, among other methods, improve the healing time in patients with scleroderma. The lack of US Food and Drug Administration approved therapies for digital ulcerations ensures a renewed focus and attention on finding meaningful treatment options. Clinicians should employ a multi-faceted therapeutic approach to optimize existing digital ulcers treatment and avoid new lesion formation to provide patients with the best quality of life.

Palabras clave : foot ulcer; clinical manifestation; systemic sclerosis.

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