Pacheco Carolina Heil Arostegui, Porto Carmen Lucia Lascasas, Vieira Juliana de Miranda, Milhomens Ana Leticia de Mattos, Fiorelli Rossano Kepler Alvim, Fiorell Stenio Karlos Alvim, Marques Marcos Arêas
Universidade do Estado do Rio de Janeiro - UERJ, Hospital Universitário Pedro Ernesto - HUPE, Rio de Janeiro, RJ, Brasil.
Universidade do Estado do Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brasil.
J Vasc Bras. 2022 Sep 2;21:e20210166. doi: 10.1590/1677-5449.202101661. eCollection 2022.
Lower limb ulcers secondary to chronic venous disease (CVD) are a significant public health problem in Brazil and account for about 70% of these ulcers. Despite recent technological advances and the various therapeutic options for treatment of these chronic injuries, several factors may be involved in resistance to treatment. Dystrophic calcinosis cutis (DCC) is a rare and often underdiagnosed condition that, when in conjunction with CVD, may be associated with a refractory healing process. In this article, we report a case of DCC in a patient with CVD and discuss its etiology, pathophysiology and possible treatment options.
慢性静脉疾病(CVD)继发的下肢溃疡在巴西是一个重大的公共卫生问题,约占此类溃疡的70%。尽管近年来技术有所进步,且针对这些慢性损伤有多种治疗选择,但治疗抵抗可能涉及多个因素。营养不良性皮肤钙化症(DCC)是一种罕见且常被漏诊的疾病,与CVD并存时,可能与难治性愈合过程相关。在本文中,我们报告了1例患有CVD的DCC患者,并讨论其病因、病理生理学及可能的治疗选择。