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|Type:||Artigo de periódico|
|Title:||Rhythmic external compression of the limbs: A method for healing cutaneous ulcers in systemic sclerosis|
|Abstract:||Objective. To evaluate the usefulness of rhythmic external compression (REC) of the limbs on the healing of ischemic cutaneous ulcers in systemic sclerosis (SSc). Methods. A prospective study analyzing 17 patients with SSc with symptomatic ischemic cutaneous ulcers in the Limbs of more than 4 weeks' duration, who submitted to 20 sessions of REC, each session of one hour duration, 3 times a week. Patients were assessed at study entry, at the end of REC sessions, and at 30, 60, and 90 days after treatment. We also conducted a retrospective analysis of the outcome of ischemic vascular ulcers in a group of 20 patients with SSc who did not undergo REC, Results, Twenty-eight ischemic vascular ulcers were submitted to REC, There was complete healing of 20 ulcers (71%) at the end of REC sessions. The healing was statistically more frequent in the distal ulcers (fingers and toes) (p = 0.0289), independent of SSc variant, There was a statistically significant correlation between pain resolution until the 15th session of REC and future ulcer healing (p < 0.0001). At followup, there were relapses in 2 ulcers 30 days after treatment. In the 20 patients with SSc who did not undergo REC, at followup, after 90 days of conventional treatment, there was healing of 7 ulcers (35%). Conclusion. REC could represent a therapeutic option in the treatment of ischemic cutaneous ulcers in SSc.|
|Editor:||J Rheumatol Publ Co|
|Appears in Collections:||Unicamp - Artigos e Outros Documentos|
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