Document Detail

Pressure ulcers and Charcot's definitions: report on two cases.
MedLine Citation:
PMID:  18853031     Owner:  NLM     Status:  MEDLINE    
CONTEXT AND OBJECTIVE: Pressure ulcers are lesions caused by inadequate blood flow and tissue malnourishment secondary to prolonged pressure on skin, soft connective tissues, muscle and/or bones. The authors report two distinct clinical situations of severely compromised neurological patients who shared several predisposing factors for pressure ulcers, but with opposite outcomes regarding the development of pressure ulcers.
CASE REPORTS: The first case was a young patient in a persistent vegetative state who developed pressure ulcers that resulted in secondary sepsis and death. The second case was a patient with a diagnosis of amyotrophic lateral sclerosis who, in spite of being bedridden for several months with severe immobility, never developed pressure ulcers. These intriguing contrary clinical situations had already been defined by Charcot in the nineteenth century, with his creation of the expression "decubitus ominosus". He indicated that patients with amyotrophic lateral sclerosis usually did not develop this form of complication, as was illustrated by the cases presented here.
Hélio Afonso Ghizoni Teive; Ricardo William Genaro Rodrigues de Campos; Renato Puppi Munhoz; Lineu César Werneck
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  São Paulo medical journal = Revista paulista de medicina     Volume:  126     ISSN:  1806-9460     ISO Abbreviation:  Sao Paulo Med J     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-10-14     Completed Date:  2009-08-19     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  100897261     Medline TA:  Sao Paulo Med J     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  223-4     Citation Subset:  IM    
Department of Internal Medicine, Neurology Service, Hospital das Clínicas, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
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MeSH Terms
Amyotrophic Lateral Sclerosis
Middle Aged
Persistent Vegetative State / complications*
Pressure Ulcer / etiology*

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