Abstract | OBJECTIVE: METHOD: This retrospective case series of patients with non-healing venous leg ulcers with atrophie blanche of the distal proportion of their lower legs, where non-healing was defined as no progress toward healing for 3 months previously, under standard therapy. Patient records were reviewed for associated diseases, wound diagnoses, distal blood pressure, previous treatments and changes in wound area. Patients were treated with AEMP once a week, for a period of 12 weeks, or until full healing. RESULTS: Eleven patient records were reviewed retrospectively. The median age of the patients was 81 years (range 40-95 years), with a mean wound size of 4.7 ± 3.Scm2 and median wound duration of 6 months (range 3-444 months).AII patients had venous or combined arterial/ venous insufficiency. After 12 weeks' treatment with AEMP, complete healing, defined as I 00% re-epithelialisation, was documented in four patients (36%), marked improvement(> SO% epithelialisation) in three patients (54%, 55% and 83% wound closure, respectively), slight improvement in one patient (9.4% wound closure), no change for two patients and worsening in one.AEMP was well tolerated, and no patients reported side effects. CONCLUSION: The results of this retrospective study suggest that AEMP improves healing in chronic venous leg ulcers combined with atrophie blanche.
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Authors | K Fogh, C B Nielsen, W Dam |
Journal | Journal of wound care
(J Wound Care)
Vol. 21
Issue 12
Pg. 612-4
(Dec 2012)
ISSN: 0969-0700 [Print] England |
PMID | 23299272
(Publication Type: Journal Article)
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Chemical References |
- Amelogenin
- Extracellular Matrix Proteins
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Topics |
- Administration, Cutaneous
- Aged
- Aged, 80 and over
- Amelogenin
(administration & dosage, therapeutic use)
- Extracellular Matrix Proteins
(administration & dosage, therapeutic use)
- Female
- Humans
- Male
- Retrospective Studies
- Skin
(pathology)
- Varicose Ulcer
(complications, pathology, physiopathology)
- Venous Insufficiency
(complications)
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