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Atrophie blanche and acroangiodermatitis: skin changes secondary to chronic venous insufficiency

The annual congress of the European Academy of Dermatology and Venereology, has just been held in Madrid.This event is always a perfect occasion to meet European colleagues and friends.I really enjoyed organizing and participating...

Ulcerated necrobiosis lipoidica: what is it and how should it be managed?

Necrobiosis lipoidica is a condition that we will always have to include if we list the causes of "atypical" leg ulcers. In fact, in the EWMA document “Atypical Wounds”,which has recently been published, this entity...

How to promote healing in ulcers secondary to pyoderma gangrenosum?

If I had to choose a single sentence to answer this question, it would undoubtedly be "with an adequate anti-inflammatory strategy and, if necessary, with an invasive approach". Some of you may have been...

Timolol for chronic wounds?

The idea of talking about topical timolol in non-healing wounds came to my mind during the recent World Congress of Dermatology  Before continuing, I would like to thank Marco Romanelli for the invitation to participate...

Why do we continue to use topical antibiotics in clean wounds after dermatologic procedures?

The unnecessary use of topical antibiotics in clean acute wounds is an issue I spoke about 4 years ago in the post "How do we manage clean wounds secondary to dermatological procedures?” I have...

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Band and bandage: not the same thing

A band is called a bandage when it is placed on the patient's leg and, therefore, its properties are different. A band may be...

Silver in wound healing

Why? The antimicrobial activity of silver has been demonstrated in vitro, including multi-resistant bacteria such as MRSA. To be bactericidal, silver has to turn into...

The art of wound cleansing

It is widely recognized that cleansing is essential in wound management and it is always the first stage in every dressing change. But should...

Punch grafting in postsurgical wounds

This 73 year old patient presents with a scalp wound after removal of a basal cell carcinoma. On the day of surgery, 3 weeks...

Types of skin grafts to cover chronic wounds: which one should...

The use of skin grafts is a traditional technique to promote the healing of acute and chronic wounds. There are different types of skin...

Differences between epidermal and dermo-epidermal punch grafts

Autologous epidermal and dermo-epidermal punch grafts are two of the different options available to promote epithelialization of recalcitrant wounds despite adequate conventional treatment. As...

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