Hughes, M, Alcacer-Pitarch, B orcid.org/0000-0002-2208-444X, Allanore, Y et al. (7 more authors) (2020) Digital ulcers: should debridement be a standard of care in systemic sclerosis? The Lancet Rheumatology, 2 (5). e302-e307. ISSN 2665-9913
Abstract
Digital ulcers are a serious, recurrent complication in patients with systemic sclerosis. They are often slow to heal and exquisitely painful. Local wound care, such as debridement of the wound bed, is an essential component in the management of digital ulcers in systemic sclerosis. However, digital ulcer debridement is not a standard of care, and there is substantial international variation in the use of this approach. In this Viewpoint, we discuss the assessment of the wound bed and different methods of debridement using the model of tissue management, infection and inflammation, moisture control, and wound edge or epidermal advancement, known as TIME. We highlight the challenges in standard practice and the need for research into local wound care for this type of ulceration, before suggesting a potential roadmap to develop a standardised approach to support ulcer debridement in systemic sclerosis. Debridement might be the missing component in optimising the management of digital ulcers and we propose that the approach should be rigorously investigated as a standard of care in this common complication of systemic sclerosis.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Clinical Musculoskeletal Medicine (LIRMM) (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Clinical Biomechanic & Physical Med (LIRMM) (Leeds) |
Funding Information: | Funder Grant number NIHR National Inst Health Research CDF-2014-07-051 The Kennedy Trust for Rheumatology Research Not Known NIHR National Inst Health Research ICA-CL-2018-04-ST2-015 |
Depositing User: | Symplectic Publications |
Date Deposited: | 25 Jan 2021 16:10 |
Last Modified: | 25 Jan 2021 16:10 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/s2665-9913(19)30164-x |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:170341 |