Leg ulcers in childhood: A multicenter study in France
| Autor: | M. Sauvage, Claire Abasq-Thomas, Stéphanie Mallet, Olivia Boccara, Nathalie Beneton, Catherine Lok, J.-P. Lacour, Juliette Mazereeuw-Hautier, Michèle-Léa Sigal, M. Say, Y. Tian, E Bourrat, E. Tella, I. Kupfer-Bessaguet, Patrice Plantin, Jean-Benoît Monfort, E. Mahé, F. Desierier |
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| Rok vydání: | 2022 |
| Předmět: |
Buruli ulcer
Wound Healing medicine.medical_specialty Pediatrics Tuberculosis Adolescent business.industry Incidence (epidemiology) Public health Leg Ulcer Pyoderma Dermatology Disease Dermatomyositis medicine.disease Pyoderma Gangrenosum Varicose Ulcer Child Preschool medicine Humans France Child business Pyoderma gangrenosum Retrospective Studies |
| Zdroj: | Annales de Dermatologie et de Vénéréologie. 149:51-55 |
| ISSN: | 0151-9638 |
| Popis: | Leg ulcers in adults are a major public health concern. Their incidence increases with age and many causes have been identified, predominantly associated with vascular diseases. Leg ulcers in children and teenagers are less frequent. The aim of our study was to identify the causes of leg ulcers in children and teenagers, and to evaluate their management.This retrospective multicenter study was conducted by members of the Angio-dermatology Group of the French Society of Dermatology and of the French Society of Pediatric Dermatology. Data from children and teenagers (18 years), seen between 2008 and 2020 in 12 French hospitals for chronic leg ulcer (disease course4 weeks), were included.We included 27 patients, aged from 2.3 to 17.0 years. The most frequent causes of leg ulcer were: general diseases (n=9: pyoderma gangrenosum, dermatomyositis, interferonopathy, sickle cell disease, prolidase deficiency, scleroderma, Ehlers-Danlos syndrome), vasculopathies (n=8: hemangioma, capillary malformation, arteriovenous malformation), trauma (n=4: bedsores, pressure ulcers under plaster cast), infectious diseases (n=4: pyoderma, tuberculosis, Buruli ulcer) and neuropathies (n=2). Comorbidities (59.3%) and chronic treatments (18.5%) identified as risk factors for delayed healing were frequent. The average time to healing was 9.1 months.Leg ulcers are less frequent in children and teenagers than in adults and their causes differ from those in adults. Comorbidities associated with delayed healing must be identified and managed. Children and teenagers tend to heal faster than adults, but a multidisciplinary management approach is necessary. |
| Databáze: | OpenAIRE |
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