Schlueer Anna-Barbara, Schwieger-Briel Agnes, Theiler Martin, Neuhaus Kathrin, Schiestl Clemens, Weibel Lisa
Department of Pediatric Dermatology, Pediatric Skin Center, University Children's Hospital Zurich, Zurich, Switzerland.
Department of Nursing Science, University Children's Hospital Zurich, Zurich, Switzerland.
Pediatr Dermatol. 2020 Nov;37(6):1218-1220. doi: 10.1111/pde.14335. Epub 2020 Sep 6.
Negative pressure wound treatment (NPWT) is very useful for the treatment of chronic or deep wounds and in the setting of skin grafting. Due to the need for adhesive dressings, this treatment is rarely attempted in patients with skin fragility secondary to hereditary epidermolysis bullosa (EB). We present a neonate with EB simplex, severe generalized in a critical clinical state where NPWT was successfully applied and describe the measures taken to avoid any further skin damage. This case is of clinical importance to physicians and health care staff treating patients with this rare disease where additional therapeutic measures for the treatment of chronic wounds are scarce.
负压伤口治疗(NPWT)在慢性或深度伤口治疗以及皮肤移植方面非常有用。由于需要使用粘性敷料,这种治疗方法很少应用于因遗传性大疱性表皮松解症(EB)导致皮肤脆弱的患者。我们报告了一例单纯性EB新生儿,病情严重且处于危急临床状态,成功应用了NPWT,并描述了为避免进一步皮肤损伤所采取的措施。对于治疗这种罕见疾病患者的医生和医护人员来说,该病例具有临床重要性,因为针对慢性伤口治疗的额外治疗措施很少。