Treatment of a Chronic Gouty Ulcer on the Lateral Malleolus with Vacuum-Assisted Closure (VAC) Therapy.
10.4078/jrd.2012.19.4.230
- Author:
Yong Hoon KIM
1
;
Jin Su KIM
;
Ki Won YOUNG
;
Hong Soup LEE
;
Jin Uk HUR
;
Kyung Tai LEE
Author Information
1. Surgery of Foot and Ankle, Eulji Medical Center, Eulji College of Medicine, Eulji University, Seoul, Korea. jins33@hanmail.net
- Publication Type:Case Report
- Keywords:
Gout;
Ulceration;
Vacuum assisted wound closure
- MeSH:
Coinfection;
Debridement;
Diabetic Foot;
Gout;
Granulation Tissue;
Metabolic Diseases;
Negative-Pressure Wound Therapy;
Purines;
Skin;
Transplants;
Ulcer;
Vacuum
- From:Journal of Rheumatic Diseases
2012;19(4):230-233
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gouty ulceration is a clinical manifestation of gout, which is a metabolic disease induced by disturbed purine metabolism. In general, protruded gout tophus and secondary infection made a gouty ulceration. It was generally treated with surgical debridement of the tophus and infected tissue. Inevitably, we make the skin defect if needed the wide surgical debridement. We waited for granulation tissue healing of the defect, then finished with a skin graft. However, larger sized gouty ulcerations require a longer period of healing time. We commonly used the vacuum assisted wound closer device (VAC) for shortening the healing time in diabetic foot ulceration. Use of VAC for a gouty ulceration was not nearly reported in literature. We report on the use of VAC after surgical debridement to heal a chronic gouty ulceration around the lateral malleolus.
