A Treatment Approach in a Toxic Hepatitis Patient Having Chronic Lymphedema and Stasis Ulcer
Abstract
Chronic lymphedema hold an important place among the reasons of leg ulcers other than venous disorders, and leg ulcers in patients with lymphedema are seen frequently. Primarily wound maintenance, pneumatic compression and vacuum assisted wound closure systems should be used in stasis ulcers developing due to lymphedema. When systematic antibiotic treatments are used irregularly and without function, it can harm the patient rather than benefit. In this article we present a chronic lymphedema patient in whom toxic hepatitis developed due to irregular antibiotic and analgesic usage in order to treat leg ulcers.
References
Browse NL. The diagnosis and management of primary lymphedema. J Vasc Surg. 1986;3:181-4.
Karnasula VM. Management of ulcers in lymphoedematous limbs. Indian J Plast Surg. 2012;45:261-5.
Douglas WS, Simpson NB. Guidelines for the management of chronic venous leg ulceration. Report of a multidisciplinary workshop. British Association of Dermatologists and the Research Unit of the Royal College of Physicians. Br J Dermatol. 1995;132:446-52.
Burton CS 3rd. Management of chronic and problem lower extremity wounds. Dermatol Clin. 1993;11:767-73.
Ryan TJ, Burnand K. Diseases of the veins and arteries-leg ulcers. In:Champion RH, Burton JL, Ehling FJG, editors. Textbook of Dermatology. 5th ed. Oxford: Blackwell Scientific Publications;1992.p.1963-2014.
Karagöz H, Süngün M, Koacailik A, Doğan N, Duran E. Venous Valve Reconstruction, Creation or Transplantation in the Surgical Treatment of Chronic Venous Insufficiency. GKD Cer. Derg. 1992;1: 186-91.
Al-Halawani MZ, Thawabi M, Asslo F, Shaaban H, Shamoon F, Baddoura WJ. Losartan-induced Ischemic Hepatocellular Hepatotoxicity: A Case Report and Literature Review. J Family Med Prim Care. 2014;3:272-4.
Charlton M. Branched-chain amino acid enriched supplements as therapy for liver disease. J Nutr. 2006 Jan;136(1 Suppl):295S-8S.
Nelson EA, Hillman A, Thomas K. Intermittent pneumatic compression for treating venous leg ulcers. Cochrane Database Syst Rev. 2014;5:CD001899.
Crăiniceanu Z, Olariu S, Bloancă V, Farca I, Bodog F, Matusz P, et al.Continuous negative pressure wound therapy in the treatment of a gigantic trophic leg ulcer. Chirurgia (Bucur). 2013;108:112-5.
