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EWMA 2013 - Ep574 - SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME
EWMA 2013 - Ep574 - SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME
EWMA 2013 - Ep574 - SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME
EWMA 2013 - Ep574 - SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME
EWMA 2013 - Ep574 - SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME
EWMA 2013 - Ep574 - SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME
EWMA 2013 - Ep574 - SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME
EWMA 2013 - Ep574 - SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME
EWMA 2013 - Ep574 - SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME
EWMA 2013 - Ep574 - SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME
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EWMA 2013 - Ep574 - SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME

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Vania Declair Cohen - RN, MS, Phd - Clinical Pharmacologist, Dermatology Specialist São Paulo - SP - Brazil …

Vania Declair Cohen - RN, MS, Phd - Clinical Pharmacologist, Dermatology Specialist São Paulo - SP - Brazil
Luiz Gustavo Balaguer Cruz – MD, Plastic Surgeon – Hospital 9 de Julho – São Paulo - SP - Brazil

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  • 1. Vania Declair Cohen - RN, MS, Phd - Clinical Pharmacologist, Dermatology Specialist São Paulo - SP - Brazil Luiz Gustavo Balaguer Cruz – MD, Plastic Surgeon – Hospital 9 de Julho – São Paulo - SP - Brazil SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME
  • 2. SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME • Introduction: SJOGREN´S SYNDROME is an autoimmune disorder that affects primarily secretory glands. The most common manifestation is keratoconjunctivitis, xerostomia, arthritis, vasculities, peripheral neuropathy and annular erytema. This disease can be rather difficult to diagnose and may exist as a primary disorder or in association with ather autoimmune disease like rheumatoid arthritis, systemic lupus erytematosus or scleroderma
  • 3. SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME • Aim: The aim of this case study is to report the successful treatment of chronic ulcers associated with vasculitis in the lower limbs of one patient with SJOGREN´S SYNDROME
  • 4. SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME • Methods: W.B. male, 68 y, HIV +, autoantibody present – anti SS-A (Ro) and increased expression of the genes bcl-2 (anti-apoptotic protein). The cutaneous lesions has been found due to lymphocytic vasculitis demonstrated by mononuclear cell infiltration with disruption of the tissue. The patient had multiple infected chronic ulcers in bilateral lower limbs for over 10 years, which had already been subjected to various types of treatment without success.
  • 5. SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME • Methods: After the first assessment wounds was treated with silver soft silicone foam dressing for two weeks to relief sustained pain, promote healing environment and reduce critical colonization. Thereafter, we stated the treatment with soft silicone associated with linoleic acid with retinol palmitate and d-alpha-tocoferol.
  • 6. SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME • Results: The wound showed improvements. The dressing showed healing environment and pain relieve. Linoleic acid improved the granulation and epitalization tissue. These wounds showed completely healing after tem weeks.
  • 7. SOFT SILICONE AND LINOLEIC ACID TO TREAT CHRONICAL WOUND IN A PATIENT WITH SJOGREN’S SYNDROME
  • 8. SOFT SILICONE AND LINOLEIC ACID TO TREAT CHRONICAL WOUND IN A PATIENT WITH SJOGREN’S SYNDROME
  • 9. SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME • Conclusion: The skin lesions associated with autoimune disease should be carefully evalueted. Dressins with silver, silicone and unsaturated fatty acids can be na excellent treatment option, however, studies must be conducted in order to highlight scientific evidence.
  • 10. SOFT SILICONE AND LINOLEIC ACID TO TREAT CHONICAL WOUND IN A PATIENT WITH SJOGREN`S SYNDROME • Outcomes: Patient´s wife: “_ Thank you for recognizing how important it was for my husband to be healing when everyone said that would never be healed”

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