Document Detail


Phenytoin-induced lymphocytic chemotaxis, angiogenesis and accelerated healing of decubitus ulcer in a patient with stroke.
MedLine Citation:
PMID:  15080024     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied the effect of topically applied phenytoin on the healing of a decubitus ulcer in the sacral region of an immobile patient with stroke. Another similar, but smaller, ulcer was treated with conventional treatment only and served as a control. The ulcers were measured once a week and biopsies were taken from the margins before, 1 week and 2 weeks after commencing treatment with phenytoin. Clinically, phenytoin substantially accelerated the rate of healing. Microscopic examination of the biopsies showed increased lymphocytic infiltration of the phenytoin-treated lesion. Anti-CD31 immunohistochemistry revealed dense CD31+ lymphocytic infiltration and increased angiogenesis only in the phenytoin-treated lesion. Our findings suggest that phenytoin enhances wound healing by stimulating lymphocytic chemotaxis and up-regulation of angiogenesis.
Authors:
M Pitiakoudis; A Giatromanolaki; I Iliopoulos; A K Tsaroucha; C Simopoulos; C Piperidou
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of international medical research     Volume:  32     ISSN:  0300-0605     ISO Abbreviation:  J. Int. Med. Res.     Publication Date:    2004 Mar-Apr
Date Detail:
Created Date:  2004-04-14     Completed Date:  2004-11-22     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0346411     Medline TA:  J Int Med Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  201-5     Citation Subset:  IM    
Affiliation:
Second Department of Surgery, Medical School, Democritus University of Thrace, Alexandoupolis, Greece.
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MeSH Terms
Descriptor/Qualifier:
Chemotaxis, Leukocyte / drug effects*
Humans
Immunohistochemistry
Male
Middle Aged
Neovascularization, Physiologic / drug effects*
Phenytoin / adverse effects,  pharmacology,  therapeutic use*
Pressure Ulcer / physiopathology,  therapy*
Wound Healing / drug effects*
Chemical
Reg. No./Substance:
57-41-0/Phenytoin

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


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