Botulinum Toxin A Injection for Treatment of Chronic Skin Ulcer: A Case Series and Literature Review.

The international journal of lower extremity wounds 2019 Vol.18(1) p. 97-103

Zhong J, Lan Y, Fu S, Zhang J, Lu S, He Y, Zhang JM

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Abstract

Chronic skin ulcer (CSU) often combines with a variety of refractory factors that respond poorly to routine treatments. Botulinum toxin A (BTX-A) can be injected subcutaneously to improve the local blood supply, to reduce pain, and to promote wound healing. At present, few reports have mentioned BTX-A injection for chronic skin ulcer treatment. We observed the effect of four cases that used BTX-A to treat CSU and provided a brief review of the literature. Four cases of CSUs with 4 different causes were treated with BTX-A injection (4 U/cm). The specific operation is as follows: local, multipoint, cyclic, equidistant, and subcutaneous injections with a depth of 6 to 8 mm. The ulcer area was significantly reduced. Subsequently, the ulcer healed within 20 to 48 days. Botulinum toxin A is recommended as an important treatment for chronic skin ulcer that can improve healing of skin ulcers with various etiologies.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 3
해부 subcutaneous 피하조직 dict 1

MeSH Terms

Adolescent; Adult; Aged; Botulinum Toxins, Type A; Chronic Disease; Female; Follow-Up Studies; Humans; Injections, Intralesional; Injections, Subcutaneous; Male; Middle Aged; Patient Safety; Risk Assessment; Sampling Studies; Severity of Illness Index; Skin Ulcer; Wound Healing

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