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Case Reports
. 2010 Oct 31:36:72.
doi: 10.1186/1824-7288-36-72.

Refractory vasculitic ulcer of the toe in an adolescent suffering from systemic lupus erythematosus treated successfully with hyperbaric oxygen therapy

Alma N Olivieri  1 , Antonio Mellos, Carlo Duilio, Milena Di Meglio, Angela Mauro, Laura Perrone
Affiliations
Case Reports

Refractory vasculitic ulcer of the toe in an adolescent suffering from systemic lupus erythematosus treated successfully with hyperbaric oxygen therapy

Alma N Olivieri et al. Ital J Pediatr. .

Abstract

Skin ulcers are a dangerous and uncommon complication of vasculitis. We describe the case of a teenager suffering from Systemic Lupus Erythematosus with digital ulcer resistant to conventional therapy, treated successfully with Hyperbaric Oxygen Therapy. The application of hyperbaric oxygen, which is used for the treatment of ischemic ulcers, is an effective and safe therapeutic option in patients with ischemic vasculitic ulcers in combination with immunosuppressive drugs. Further studies are needed to evaluate its role as primary therapy for this group of patients.

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Figures

Figure 1
Figure 1
Ulcer as it appears after 5 sessions of HBO.
Figure 2
Figure 2
Toes as they appear after 5 sessions of HBO.
Figure 3
Figure 3
Toe as it appears after 32 sessions of HBO therapy.
See this image and copyright information in PMC

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