Advances in Dermatology and Allergology
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eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
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4/2009
vol. 26
 
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abstract:

Case report
Reccurrent neurotrophic ulcerations in a patient with meningomyelocele – case report

Małgorzata Misterska
,
Joanna Szulczyńska-Gabor
,
Wojciech Silny
,
Magdalena Czarnecka-Operacz
,
Roman Jankowski
,
Ryszard Żaba

Post Dermatol Alergol 2009; XXVI, 4: 233–238
Online publish date: 2009/08/30
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Neuropathic causes of ulcerations of the lower limbs are relatively rare. We present a case of a 29-year old woman with spina bifida and inherent myelomeningocele of the lumbo-sacral region of the spinal column, in whom from early childhood non-painful and non-healing erosions and deep ulcerations appeared within the left foot due to small injuries. Multi-annual inefficacious treatment and lack of proper diagnosis precluded the correct causal treatment and led to amputation of the 5th toe of the left foot, osteolytic changes in the metatarsal bones, and finally to a life-threatening condition
keywords:

neurotrophic ulcer, meningomyelocele, spina bifida, Charcot’s arthropathy, Charcot’s foot, acroosteopathia ulceromutilans nonfamiliaris, malum perforans, mal perforant, anaesthetic ulcer, Morvans ulcer, Bureau-Barrie`re syndrome

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