Leg amputation and dystrophic epidermolysis bullosa: a case report with 15 years of follow-up

Autor: Anne Blanchard-Dauphin, V. Wieczorek, Benoit Catteau, Philippe Patenotre, André Thevenon, Vincent Tiffreau, Marguerite Preudhomme
Přispěvatelé: Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369 - ULR 4488 (URePSSS), Université d'Artois (UA)-Université du Littoral Côte d'Opale (ULCO)-Université de Lille, Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Université d'Artois (UA)-Université de Lille-Université du Littoral Côte d'Opale (ULCO), Univ. Littoral Côte d’Opale, Univ. Artois, Université de Lille, Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369 - ULR 4488 [URePSSS], Centre Hospitalier Régional Universitaire [Lille] [CHRU Lille]
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Journal of Rehabilitation Medicine
Journal of Rehabilitation Medicine, 2016, Journal of rehabilitation medicine, 48, pp.833-835. ⟨10.2340/16501977-2125⟩
Journal of Rehabilitation Medicine, Foundation for Rehabilitation Information, 2016, Journal of rehabilitation medicine, 48, pp.833-835. ⟨10.2340/16501977-2125⟩
ISSN: 1650-1977
1651-2081
DOI: 10.2340/16501977-2125⟩
Popis: International audience; OBJECTIVE: Dystrophic epidermolysis bullosa is a rare disease characterized by widespread blistering of the skin and mucous membranes, which may ultimately prompt limb amputation. In this context, the outcome of fitting a prosthesis to a chronically wounded stump is not well known. Our patient's experience (with 15 years of follow-up) should contribute to better knowledge of this topic.METHODS: A 37-year-old man presented with severe dystrophic epidermolysis bullosa. Recurrent skin carcinoma had led to an amputation below the knee. Despite incessant development of blisters on the stump and the need for wound dressing and padding, the patient has been able to walk freely with a prosthesis and a cane. A large number of skin sarcomas were excised over the 15-year period of prosthesis use. Two falls have resulted in limb fractures. A new sarcoma on the stump marked the end of the use of the prosthesis.CONCLUSIONS: Despite the constant presence of wounds on the stump, amputees with dystrophic epidermolysis bullosa can successfully be fitted with a prosthesis.
Databáze: OpenAIRE