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Leg amputation and dystrophic epidermolysis bullosa: a case report with 15 years of follow-up
Abstract : OBJECTIVE: Dystrophic epidermolysis bullosa is a rare disease characterized by widespread blistering of the skin and mucous membranes, which may ultimately prompt limb amputation. In this context, the outcome of fitting a prosthesis to a chronically wounded stump is not well known. Our patient's experience (with 15 years of follow-up) should contribute to better knowledge of this topic.
METHODS: A 37-year-old man presented with severe dystrophic epidermolysis bullosa. Recurrent skin carcinoma had led to an amputation below the knee. Despite incessant development of blisters on the stump and the need for wound dressing and padding, the patient has been able to walk freely with a prosthesis and a cane. A large number of skin sarcomas were excised over the 15-year period of prosthesis use. Two falls have resulted in limb fractures. A new sarcoma on the stump marked the end of the use of the prosthesis.
CONCLUSIONS: Despite the constant presence of wounds on the stump, amputees with dystrophic epidermolysis bullosa can successfully be fitted with a prosthesis.
Littérature citée [8 références]
https://hal.univ-lille.fr/hal-02893235
Contributeur : Lilloa Université de Lille Connectez-vous pour contacter le contributeur
Soumis le : mercredi 8 juillet 2020 - 10:16:57
Dernière modification le : mercredi 20 octobre 2021 - 09:58:26
Archivage à long terme le : : lundi 30 novembre 2020 - 13:52:40
Contributeur : Lilloa Université de Lille Connectez-vous pour contacter le contributeur
Soumis le : mercredi 8 juillet 2020 - 10:16:57
Dernière modification le : mercredi 20 octobre 2021 - 09:58:26
Archivage à long terme le : : lundi 30 novembre 2020 - 13:52:40
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