Consensus on the diagnosis and management of chronic leg ulcers - Brazilian Society of Dermatology. - OpacWWW

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Tytuł:: Consensus on the diagnosis and management of chronic leg ulcers - Brazilian Society of Dermatology.
Autorzy:: Abbade LPF; Department of Infectious Diseases, Dermatology, Diagnostic Imaging and Radiotherapy, Faculty of Medicine, Universidade Estadual Paulista, Botucatu, SP, Brazil. Electronic address: .
Frade MAC; Department of Internal Medicine (Dermatology Division), Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Pegas JRP; Dermatology Service, Hospital Padre Bento de Guarulhos, Guarulhos, SP, Brazil; Discipline of Dermatology, Faculty of Medicine, Universidade da Cidade de São Paulo, São Paulo, SP, Brazil; Discipline of Dermatology, Faculty of Medicine, Jundiaí, SP, Brazil.
Dadalti-Granja P; Department of Clinical Medicine (Discipline of Dermatology), Universidade Federal Fluminense, Niterói, RJ, Brazil.
Garcia LC; Dermatology Service, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Bueno Filho R; Dermatology Service, Hospital das Clínicas, Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Parenti CEF; Department of Dermatology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Źródło:: Anais brasileiros de dermatologia [An Bras Dermatol] 2020 Nov-Dec; Vol. 95 Suppl 1, pp. 1-18. Date of Electronic Publication: 2020 Oct 04.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Barcelona, Spain : Elsevier España, S.L.
Original Publication: Rio De Janeiro : Sociedade Brasileira de Dermatologia
MeSH Terms:: Dermatology*
Leg Ulcer*/diagnosis
Leg Ulcer*/therapy
Varicose Ulcer*/diagnosis
Varicose Ulcer*/therapy
Adult ; Brazil ; Consensus ; Humans ; Quality of Life
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Contributed Indexing:: Keywords: Cutaneous ulcer; Diabetes mellitus; Leg ulcer; Leprosy; Neuropathy; Peripheral arterial disease; Venous ulcer
Entry Date(s):: Date Created: 20201229 Date Completed: 20201230 Latest Revision: 20210110
Update Code:: 20240105
PubMed Central ID:: PMC7772605
DOI:: 10.1016/j.abd.2020.06.002
PMID:: 33371937
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Background: Chronic leg ulcers affect a large portion of the adult population and cause a significant social and economic impact, related to outpatient and hospital care, absence from work, social security expenses, and reduced quality of life. The correct diagnosis and therapeutic approach are essential for a favorable evolution.
Objective: To gather the experience of Brazilian dermatologists, reviewing the specialized literature to prepare recommendations for the diagnosis and treatment of the main types of chronic leg ulcers.
Methods: Seven specialists from six university centers with experience in chronic leg ulcers were appointed by the Brazilian Society of Dermatology to reach a consensus on the diagnosis and therapeutic management of these ulcers. Based on the adapted DELPHI methodology, relevant elements were considered in the diagnosis and treatment of chronic leg ulcers of the most common causes; then, the recent literature was analyzed using the best scientific evidence.
Results: The following themes were defined as relevant for this consensus - the most prevalent differential etiological diagnoses of chronic leg ulcers (venous, arterial, neuropathic, and hypertensive ulcers), as well as the management of each one. It also included the topic of general principles for local management, common to chronic ulcers, regardless of the etiology.
Conclusion: This consensus addressed the main etiologies of chronic leg ulcers and their management based on scientific evidence to assist dermatologists and other health professionals and benefit the greatest number of patients with this condition.
(Copyright © 2020 Sociedade Brasileira de Dermatologia. Published by Elsevier España, S.L.U. All rights reserved.)

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Consensus on the diagnosis and management of chronic leg ulcers - Brazilian Society of Dermatology.