Therapy of white atrophy during the hyperalgesic phase or unusual use of cortico steroid therapy in phlebology
Parpex, P.
Phlebologie 35(3): 747-749
1982
ISSN/ISBN: 0031-8280 PMID: 7134277 Document Number: 195161
An ischaemic atrophic ulcer is a serious disease because of the pain it causes and because of its lingering course which is due to the poor effectiveness of available treatments. Today, at the first sign of pain (which precedes the ulcer) or in the first 48 hours after the appearance of the ulcer, high dose corticosteroid therapy (0.6 mg/kg Prednisolone) is prescribed for the first few days, reducing over one week to a local corticosteroid treatment (betamethasone cream) Dressings should be changed twice weekly. A splint may be added depending on the seventy of the oedema and sclerosis will be avoided during the hyperalgesic phase.