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Featured Articles

  • September 19, 2016

    Ask the Treatment Expert About ... Eschar

    A question that frequently arises is this: Exactly how is one to treat heel pressure injuries if they are covered with hard, black, dry eschar? The first intervention one should implement is pressure redistribution. This is accomplished by using pillows, positioners or devices to "float the heels" - in other words, heels are not in contact with any surface. Read More

    Scientists Find Way to Treat Non-Healing Wounds With Cold Plasma

    Open (chronic) wounds affect 5.7 million patients and cost an estimated 20 billion dollars annually. Patients with chronic wounds often find them to be not only costly but an impediment to daily life that can impact their physical and mental well-being. Existing treatments, such as Topical Negative Pressure, which requires a uniform negative pressure to the base of the wound sometimes using a vacuum, can be both expensive and uncomfortable for patients. Read More

    Topical Insulin Appears Viable in Treatment of Pressure Ulcers 

    Nursing home residents sometimes develop pressure ulcers, especially if they have low serum albumin levels, are incontinent, have fragile skin, or are bed-bound. Pressure ulcers are notoriously difficult to treat, and have systemic repercussions if they do not heal. Normal wound healing progresses from hemostasis, to inflammation, granulation, and maturation. Read More

  • September 12, 2016

    Can a Spray-On Plaster Help to Heal Chronic Wounds?

    Initial results from tests on mice published last month (August), show the spray-on dressing reduces the time it takes to achieve 50 percent closure of the wound from 17 days to just 11 days. And after 24 days, the wounds were completely healed, whereas wounds dressed with normal bandages take at least another week. Previous research has shown that up to 40 percent of diabetic ulcers take at least three months to mend and in around 14 percent of cases wounds are still present after a year. Read More

    Fungi Contribute to Delayed Healing of Chronic Wounds

    Researchers in Pennsylvania and Iowa have discovered that fungal communities found in chronic wounds can form mixed bacterial-fungal biofilms and can be associated with poor outcomes and longer healing times. Their report, the first deep characterization of the fungi found in diabetic foot ulcers, is published this week in mBio, an online open-access journal of the American Society for Microbiology. Read More

    Umbilical Cord is Shown to Help Chronic Wounds Heal

    Cryopreserved umbilical cord, or CUC, allografts healed nearly 80% of chronic wounds in a retrospective review of a Texas veterans clinic. Researchers examined the charts of 57 patients with 64 chronic wounds, and principal investigator, podiatrist Mark Couture, debrided the wounds in his clinic or in an operating room, then placed the cUC directly over the wound bed and secured it with a non-adherent layer and moist gauze or sterile dressing. Additional debridement and cUC were given, if needed, weekly. Read More

  • September 6, 2016

    Surgical Procedure Designed to Help Patients Suffering from Diabetic Neuropathy

    While not a guarantee against eventual amputation for those patients, has been proven, in many cases, to relieve their pain. Read More

    Consensus on Best Treatment Strategy for CLI Requires Additional Research

    Chronic critical limb ischemia is a highly morbid and incapacitating condition, and an understanding of its epidemiology and current treatment options is essential to providing the best care for affected patients, according to a recent systematic review. Read More

    'SkinGun' Sprays Stem Cells to Heal Burns and Wounds

    An experimental treatment that sprays on your own stem cells to treat second degree burns...is one of the latest trends in advanced wound care medicine. Read More

  • August 22, 2016

    What Is Erysipelas?

    Erysipelas is a bacterial infection in the upper layer of the skin. It is similar to another skin disorder known as cellulitis, which is an infection in the lower layers of the skin. Both conditions are similar in appearance and are treated in the same way. Read More

    Insulin Price Spike Leaves Diabetes Patients in Crisis

    Insulin in various forms has become so expensive that some diabetes patients are forced to choose between the life-saving drug and other essentials like rent and food. A massive spike in insulin prices is causing a health crisis for millions of diabetes patients who depend on the lifesaving drug, doctors say. Read More

    Topical Agents Effective First-Line Treatment For Pyoderma Gangrenosum

    Mild pyoderma gangrenosum could be effectively controlled through topical therapy, while avoiding the possible side effects typically linked to systemic therapy, according to recent study results. Read More

    Lessons In Wound Healing From Our Favorite Fly

    Instead of stitches and screws, doctors are looking to the next generation of medical adhesives - glues and tape - to patch us up. Their inspiration? Water-loving creatures like oysters, marine worms and the caddis fly, a type of stream-dwelling, fish-baiting insect that lives in creeks all across the United States. Read More

  • August 15, 2016

    Pemphigus Vulgaris and Pemphigus Vegetans

    As a chronic condition, pemphigus is most easily controlled when it is diagnosed and treated early in the disease course.The treatments used may be similar to the care given for severe burns.The most common type of pemphigus is pemphigus vulgaris. Pemphigus vegetans is a rare and benign variant of pemphigus vulgaris that has a much better prognosis. Read More

    Aging Sweat Glands Delay Wound Healing

    Sweat glands play an important roll in how skin heals from injury, but they don't work as well in seniors, say University of Michigan researchers. Their study, published in Aging Cell, compared the skin of 18 elderly patients to that of 18 young adults, all of whom were given skin lesions smaller than a pencil eraser while under local anesthesia. For the first time, the team of scientists and dermatologists were able to pinpoint the cellular mechanism that makes older skin slower to regenerate. Read More

    COMFORT Mnemonic Can Help Guide Malignant Wound Care

    Malignancy in a chronic leg wound can be very aggressive, and multidisciplinary care is a must - particularly in those who oppose amputation, according to Tania J. Phillips, MD. "In these kinds of patients you may not heal the wound; you may just have to try to keep the wound clean, free of pain, and free of infection", she said. COMFORT is a valuable mnemonic device for caring for such patients: Care for pain and itching, use Odor control, Manage exudate and bleeding, Fight infection, Optimize peri-wound skin integrity, use Reparative and aesthetic wound dressings, Treat the cancer. Read More

    Cancer-Fighting Therapy Shows Promise as Treatment to Speed Up Wound Healing

    A type of targeted therapy that has shown promising results treating advanced melanoma could also be used to help speed up how the skin repairs itself from injury, UCLA researchers have found, providing a potential new way to accelerate healing of acute and chronic wounds. In the United States alone, chronic wounds affect more than 6.5 million people and an estimated $50 billion is spent annually treating these conditions. Many areas of medicine - from improving recovery times after surgery to reducing skin-related secondary effects of cancer treatments and other diseases - can benefit from speeding up the skin's healing process. Read More

  • August 8, 2016

    Incidence of Peristomal Pyoderma Gangrenosum Linked to Pre-Existing Inflammatory Bowel Disease

    Patients with inflammatory bowel disease were at a greater risk for peristomal pyoderma gangrenosum, a subtype of pyoderma gangrenosum, according to study results. PPG is a diagnosis of exclusion and is often misdiagnosed as suture abscess, contact dermatitis, irritation from stoma leakage, infection, or extension of underlying Crohn's disease. A broad range of therapies, including topical and systemic medication and surgical intervention, have been used, with no single intervention showing consistent efficacy. Read More

    Higher Osteoprotegerin Levels Associated With Foot Ulcer in Type 1 Diabetes

    "To the best of our knowledge, we are the first to show an association between higher levels of [osteoprotegerin] and development of foot ulcer in type 1 diabetes, independent of other risk factors. This might be attributed to the role of [osteoprotegerin] both in peripheral vascular disease and neuropathy; the two major factors contributing to foot ulcer." Read More

    Skin Treatment for Infected Pressure Sores and Superbugs Could Revolutionize Hospital Care

    A cream which could make bacteria slide off the skin could revolutionize the fight against superbugs and painful pressure sores which affects millions of people in hospital every year. The treatment, which has been tested on laboratory-grown 'model' skin, prevents infection without directly killing bacteria and promoting antibiotic resistance. Experts said bacteria invading a wound or bed sore attach themselves to the skin by hijacking sticky patches on human cells. Read More