Document Detail


Conflicts in the treatment of chronic ulcers in drug addicts--case series and discussion.
MedLine Citation:
PMID:  16040018     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Vascular access in intravenous drug abusers may become compromised by the repeated injection of toxic substances. In such circumstances abusers are driven by their addiction to seek alternative routes of drug delivery. We report a series of individuals with chronic ulcers, which were cultivated and maintained for the administration of heroin. We advise that practitioners should be wary of granulation tissue being promoted in this way and suggest that the patients' desire for wound healing may be overridden by their addiction and that successful treatment of these wounds is reliant upon cessation of drug abuse and patient compliance. In our experience this is most easily achieved in a multidisciplinary environment.
Authors:
A M Williams; S J Southern
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  British journal of plastic surgery     Volume:  58     ISSN:  0007-1226     ISO Abbreviation:  Br J Plast Surg     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-09-23     Completed Date:  2005-12-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984714R     Medline TA:  Br J Plast Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  997-9     Citation Subset:  IM    
Affiliation:
Plastic and Reconstructive Surgery Department, Pinderfields General Hospital, Aberford Road, Wakefield WF1 4DG, UK. amw29@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Chronic Disease
Granulation Tissue / pathology
Heroin Dependence / complications*,  psychology
Humans
Injections, Subcutaneous
Male
Patient Compliance
Skin Ulcer / etiology*,  pathology,  therapy*
Substance Abuse, Intravenous / complications*,  psychology
Wound Healing*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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