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Register a new userEtiological, epidemiological and therapeutic studying of the leg ulcer
دراسة سببية و وبائية و علاجية لقرحات الساق
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غانم علي أحمد( باحث )
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قرحات الساق مرض شائع و منتشر عالمياً، يصيب كلا الجنسين و كل الأعمار. قرحة الساق شديدة الارتباط مع الأمراض الوعائية، و أكثر اختلاطاتها الإنتان و التهاب الجلد التماسي. يعتمد علاج القرحة على التشخيص الدقيق للسبب، ثم المساعدة على الترميم باستخدام مستحضرات مختلفة، و نادراً ما تحتاج قرحة الساق إلى تداخل جراحي. تضمن البحث 50 مريضاً (40 ذكراً) مصاباً بقرحة الساق من مراجعي العيادة الجلدية و جراحة الأوعية. امتدت الدراسة من شهر شباط 2010 حتى حزيران 2011. كانت نسبة قرحات الساق بين مراجعي العيادة الجلدية (0,32 %) و عيادة جراحة الأوعية (5 %)، العمر الوسطي للمرضى (48) سنة. ظهر أن أكثر أسباب قرحة الساق القصور الوريدي المزمن (34%) ثم القصور الشرياني (22%). أكثر الاختلاطات شيوعاً هو التهاب الجلد التماسي و الإنتان الثانوي. شملت الدراسة العلاجية بالمستحضرات المساعدة على الترميم (32) قرحة، و كانت أفضل النتائج مع الـMEBO و الـ SILVER LEAF بنسبة شفاء قاربت (100 %) و بفترة وسطية للشفاء مقدارها (8) أسابيع.
the leg ulcer is the common disease, it distributes widely in the world. it affect both genders, and any age. it strongly related to the vascular diseases, its most complications are infection and contact dermatitis. the management of the ulcer is depended to the etiology, and regeneration ulcer using different drugs, the surgical procedure is rarely taking place in managements ulcers. the duration of the study was february 2010 and june 2011. the percentage of leg ulcer among patients of dermatology clinic was 0.32%, and 5% of vascular surgery patients. the main age was 48 years. the most common causes of leg ulcer was chronic venous insufficiency (34%), and arterial (22%). the majority of the complications are contact dermatitis and secondary infection. therapeutic study had included drugs helping regeneration (32 ulcer), the best result was using Mebo and Silver Leaf, the percentage of healing was approximately 99% along 8 weeks.
References used
AGACHE, P. ; RISOLD, J.C. Ulcer De Jambe: Encyclopedie Medico-Chirurgicale. paris, DERMATOLOGIE , Vol. 5, 1987
PRIVAT,Y,BERBIS,PHET AUFERANCE, J.ch1986 medico-chirurgicale,paris,DERMATOLOGIE -4- 1986
LAUTENSCHLAGER, S.; EICHMANN, A. Differential Diagnosis Of Leg Ulcers. Curr. Probl Dermatol., Vol. 27, 1999,259-70
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been no local studies about this method so far.
Objective: Evaluation of methods of reconstruction the defects of the soft tissues of
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international studies.
Methods: The study included 25 patients undergoing transposition of the
gastrocnemius and / or soleus flaps, sural flaps for treating soft tissues in the leg, from
2015 to 2017 in both Al-Asaad and Tishreen University hospitals in Lattakia , gathering
information on the etiology the lesion, the time of reconstruction, the flap used to cover the
lesion, and the function of the gastrocnemius-soleus unit, and the following Sensory
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Pancytopenia is defined by reduction of all three formed elements of blood below the
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few published assessments of the frequencies of various etiologies , an
d these frequencies
exhibit substantial geographic variation . This study was carried out to investigate for and
to identify the causes of pancytopenia , to find out the frequency of different causes , to
determine the incidence of pancytopenia in relation to sex and age and to compare our
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examination followed by blood sampling for the investigations i.e. complete blood count
with peripheral film , erythrocyte sedimentation rate ( ESR ) , liver function test , PT ,
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marrow aspiration and trephine biopsy for some patients. A definite female
preponderance was observed , 59 were female and 54 were male. The majority of cases
were encountered in the age group of more than sixty years old .Infiltration disorders were
the commonest cause that was observed in 38.1% followed by infections in 22.1% ,
megaloblastic anemia 12.4% , myelodysplasia 11.5%, aplastic anemia 7.1% ,
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history and meticulous physical examination along with baseline hematological
investigations provide good information and help in systematic planning of further
investigations to diagnose pancytopenia's cause.
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proliferationin. Calcium dobesilate CD is a potent antioxidant, slows vascular proliferation.
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