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高频超声评价皮肤纤维化治疗后真皮层的重建。

Reconstruction of dermal layers evaluated by high-frequency ultrasound following treatment for skin fibrosis.

机构信息

Instituto Lauro de Souza Lima, Bauru, Brazil.

Clínica Godoy, São José do Rio Preto, Brazil.

出版信息

Ger Med Sci. 2023 May 26;21:Doc04. doi: 10.3205/000318. eCollection 2023.

Abstract

BACKGROUND

Lymphedema is a chronic, progressive clinical condition that evolves with intense fibrosis, the most advanced stage of which is stage III (lymphostatic fibrosclerosis).

AIM

The aim of the present study was to show the possibility to reconstruct the dermal layers with the intensive treatment of fibrosis using the Godoy method.

CASE DESCRIPTION

A 55-year-old patient with an eight-year history of edema of the lower limb of the leg had constant episodes of erysipelas, despite regular treatments. The edema progressed continually, associated with a change in the color of the skin and the formation of a crust. Intensive treatment (eight hours per day for three weeks) was proposed with the Godoy method. The ultrasound was performed and results revealed substantial improvement in the skin, with the onset of the reconstruction of the dermal layers.

CONCLUSION

It is possible to reconstruct the layers of the skin in fibrotic conditions caused by lymphedema.

摘要

背景

淋巴水肿是一种慢性、进行性的临床病症,会发展为严重纤维化,其最严重的阶段为 III 期(淋巴淤滞性纤维化)。

目的

本研究旨在展示使用 Godoy 方法通过对纤维化的强化治疗来重建真皮层的可能性。

病例描述

一名 55 岁患者,其下肢水肿病史长达八年,尽管进行了常规治疗,但仍经常出现丹毒发作。水肿持续进展,伴有皮肤颜色改变和结痂形成。我们建议采用 Godoy 方法进行强化治疗(每天 8 小时,持续 3 周)。进行了超声检查,结果显示皮肤有明显改善,真皮层开始重建。

结论

在由淋巴水肿引起的纤维化病变中,重建皮肤层是可能的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d86f/10316411/25d96ea8a5b5/GMS-21-04-g-001.jpg

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