Atypical Ulcers: Diagnosis and Management

Agata Janowska,1 Valentina Dini,1 Teresa Oranges,1,2 Michela Iannone,1 Barbara Loggini,3 Marco Romanelli1 1Department of Dermatology, University of Pisa, Pisa, Italy; 2Department of Health Sciences, Anna Meyer Children University Hospital, University of Florence, Florence, Italy; 3Department of Path...

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Autores principales:	Janowska A, Dini V, Oranges T, Iannone M, Loggini B, Romanelli M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	atypical ulcers wound healing wound bed preparation wound management Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/a3913f8e9cc041caa376d977d947aecb
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spelling	oai:doaj.org-article:a3913f8e9cc041caa376d977d947aecb2021-12-02T11:59:57ZAtypical Ulcers: Diagnosis and Management1178-1998https://doaj.org/article/a3913f8e9cc041caa376d977d947aecb2019-12-01T00:00:00Zhttps://www.dovepress.com/atypical-ulcers-diagnosis-and-management-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Agata Janowska,1 Valentina Dini,1 Teresa Oranges,1,2 Michela Iannone,1 Barbara Loggini,3 Marco Romanelli1 1Department of Dermatology, University of Pisa, Pisa, Italy; 2Department of Health Sciences, Anna Meyer Children University Hospital, University of Florence, Florence, Italy; 3Department of Pathology, University of Pisa, Pisa, ItalyCorrespondence: Agata JanowskaDepartment of Dermatology, University of Pisa, Via Roma 67, Pisa 56126, ItalyTel +39 050 992436Fax +39 050 992556Email dottoressajanowska@gmail.comAbstract: Atypical ulcers show atypical clinical features, histology, localization, and resistance to standard therapies. The persistence of a chronic ulcer despite treatment with standard therapies requires a more specific diagnostic investigation. Diagnosis involves obtaining the history and performing clinical examination and additional tests. A skin biopsy is frequently used to confirm unclear diagnosis. In difficult cases, microbiological and immunohistochemical examinations, laboratory blood tests, or instrumental tests should be evaluated. The treatment of atypical wounds is characterized by local systemic therapy and pain control. Our results highlight the need for early diagnosis, and standardized and targeted management by a multidisciplinary wound healing center.Keywords: atypical ulcers, wound healing, wound bed preparation, wound managementJanowska ADini VOranges TIannone MLoggini BRomanelli MDove Medical Pressarticleatypical ulcerswound healingwound bed preparationwound managementGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 2137-2143 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	atypical ulcers wound healing wound bed preparation wound management Geriatrics RC952-954.6
spellingShingle	atypical ulcers wound healing wound bed preparation wound management Geriatrics RC952-954.6 Janowska A Dini V Oranges T Iannone M Loggini B Romanelli M Atypical Ulcers: Diagnosis and Management
description	Agata Janowska,1 Valentina Dini,1 Teresa Oranges,1,2 Michela Iannone,1 Barbara Loggini,3 Marco Romanelli1 1Department of Dermatology, University of Pisa, Pisa, Italy; 2Department of Health Sciences, Anna Meyer Children University Hospital, University of Florence, Florence, Italy; 3Department of Pathology, University of Pisa, Pisa, ItalyCorrespondence: Agata JanowskaDepartment of Dermatology, University of Pisa, Via Roma 67, Pisa 56126, ItalyTel +39 050 992436Fax +39 050 992556Email dottoressajanowska@gmail.comAbstract: Atypical ulcers show atypical clinical features, histology, localization, and resistance to standard therapies. The persistence of a chronic ulcer despite treatment with standard therapies requires a more specific diagnostic investigation. Diagnosis involves obtaining the history and performing clinical examination and additional tests. A skin biopsy is frequently used to confirm unclear diagnosis. In difficult cases, microbiological and immunohistochemical examinations, laboratory blood tests, or instrumental tests should be evaluated. The treatment of atypical wounds is characterized by local systemic therapy and pain control. Our results highlight the need for early diagnosis, and standardized and targeted management by a multidisciplinary wound healing center.Keywords: atypical ulcers, wound healing, wound bed preparation, wound management
format	article
author	Janowska A Dini V Oranges T Iannone M Loggini B Romanelli M
author_facet	Janowska A Dini V Oranges T Iannone M Loggini B Romanelli M
author_sort	Janowska A
title	Atypical Ulcers: Diagnosis and Management
title_short	Atypical Ulcers: Diagnosis and Management
title_full	Atypical Ulcers: Diagnosis and Management
title_fullStr	Atypical Ulcers: Diagnosis and Management
title_full_unstemmed	Atypical Ulcers: Diagnosis and Management
title_sort	atypical ulcers: diagnosis and management
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/a3913f8e9cc041caa376d977d947aecb
work_keys_str_mv	AT janowskaa atypicalulcersdiagnosisandmanagement AT diniv atypicalulcersdiagnosisandmanagement AT orangest atypicalulcersdiagnosisandmanagement AT iannonem atypicalulcersdiagnosisandmanagement AT logginib atypicalulcersdiagnosisandmanagement AT romanellim atypicalulcersdiagnosisandmanagement
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Atypical Ulcers: Diagnosis and Management

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