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Enzymatic debridement: to what extent is it selective

Enzymatic debridement is a widely used technique. However, many professionals are strongly opposed to this type of debridement. The objective of this post is...

Pustular and erosive leg dermatosis: you may have seen a case without knowing it

Pustular and erosive dermatosis of the legs is a disorder that may be underdiagnosed because of lack of knowledge of its existence.. Have you...

In front of a skin ulcer, when should we suspect of a malignant ulcer?

A malignant ulcer can occur in 2 different contexts: Malignancy of a chronic, long-standing ulcer Ulcerated primary skin tumor The malignant transformation of a chronic...

Ulcers an post-thrombotic syndrome: a therapeutic challenge

Many of the ulcers we may find in our daily clinical practice develop in the context of a post-thrombotic syndrome. It is important to...

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CEAP Classification of Chronic Venous Disorders: Let’s all speak the same language.

The CEAP classification (Clinical-Etiological-Anatomical-Pathophysiological) was created in 1994 to standardize the diverse manifestations of chronic venous disease. It was...

Distraction as analgesic strategy during dressing changes

Professionals  involved in wound management know that dressing changes represent an enormously stressful factor for patients, mainly because of...
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Factitial ulcer: a silent cry for help

The mind and skin arise from the same embryonic layer, the ectoderm. This common origin helps to understand many...

Ulcer secondary to alteration of homocysteine metabolism mimicking pyoderma gangrenosum

Homocysteine is an amino acid that is not present in dietary proteins, but is formed exclusively as an intermediate...

Punch grafting as a painkiller for painful ulcers

Any excuse is always perfect for me to talk about punch grafting. But this time I have a "scientifically...

Sclerotherapy gains against recurrence of venous leg ulcers

Recently, the 45th National Congress of the Spanish Academy of Dermatology took place in Madrid, where, with Dr. Rita...

Enzymatic debridement: to what extent is it selective

Enzymatic debridement is a widely used technique. However, many professionals are strongly opposed to this type of debridement. The...
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Differences between epidermal and dermo-epidermal punch grafts

Autologous epidermal and dermo-epidermal punch grafts are two of...