This is a connective tissue disturbe with unknown etiology.

Characterized by:
- extreme colagene cutaneous deposition;
-  vascular alterations;  
- diverse manifestation, also chronic cutaneous ulcers with difficult cicatrization.

It is important to carry through the distinguishing diagnosis. The clinical treatment of patologie.

Photo 1
Click in the fotografis to extend it.

To notice necrotic aspect and fibrinous slough
of the bed of the wound.

The dressings had been carried through with papain 4%, of 12 in 12 hours, per 6 weeks, occurring the spontaneous injuries cicatrization.

This case was been about interdisciplinary approach, in the  Clinical Hospital of the State University of Campinas (San Paulo - Brazil) by Reconstructive Surgery and Microsurgery Unit - Departament of Orthopedia and Traumatology (then chief L.C.Candido, MD, PhD) and Hyperbaric Medicin Unit (then chief P.E. Iazzetti, MD, PhD).

SEE

DRESSING and COVERINGS

Burn
Diabetic Foot Ulcer
Fournier Syndrome
Necrotic Fasciities
Pressure Ulcer
Surgical Wound - Fasciotomy
Surgical Wound Dehiscence
Traumatic Lesion
Vegetant Cutaneous Neoplasm
Vasculogenic Lesion