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Sickle Cell Leg Ulcer Successfully Managed by Hyperbaric Oxygen: a Case Report

Overview
Specialty General Medicine
Date 2023 Jul 3
PMID 37396892
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Abstract

Sickle cell leg ulcers (SCLUs) are usually chronic, painful, and devastating complications of sickle cell disease. Skin vaso-occlusion with compromised blood flow, chronic inflammation, and endothelial dysfunction is thought to be the underlying mechanism. It is usually slow to heal, and it may become chronic and superinfected. The management of SCLUs is usually challenging and requires a multidisciplinary team. Multiple systemic and local therapies have been tried in SCLU treatment. However, the outcome is variable: currently, there are no official recommendations for the best effective treatment. Herein, we report a 34-year-old male patient with non-transfusion-dependent sickle cell disease who was suffering from a chronic left ankle ulcer and was successfully managed with hyperbaric oxygen therapy, resulting in a complete resolution of this devastating complication.

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The Curious Case of a Painful Leg Ulcer.

Patel J, Montejano R, Hopkins C, Siatecka H, Rosen T Cureus. 2024; 16(2):e54127.

PMID: 38487135 PMC: 10939161. DOI: 10.7759/cureus.54127.

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