Unexpected healing of cutaneous ulcers in a short child

A boy aged 10 years was referred to the Paediatric Department of Milan University Hospital, Milan, Italy, with a long history of pain in the lower limbs, alleviated only by exposure to cold. His legs were swollen, with multiple cutaneous ulcers. He had severe painful crises, and was totally incapaci...

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Veröffentlicht in:The Lancet (British edition) 2001-07, Vol.358 (9277), p.211-212
Hauptverfasser: Cimaz, Rolando, Rusconi, Roberto, Fossali, Emilio, Careddu, Paolo
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container_end_page 212
container_issue 9277
container_start_page 211
container_title The Lancet (British edition)
container_volume 358
creator Cimaz, Rolando
Rusconi, Roberto
Fossali, Emilio
Careddu, Paolo
description A boy aged 10 years was referred to the Paediatric Department of Milan University Hospital, Milan, Italy, with a long history of pain in the lower limbs, alleviated only by exposure to cold. His legs were swollen, with multiple cutaneous ulcers. He had severe painful crises, and was totally incapacitated. After the diagnosis of erythermalgia was made, numerous treatments were tried, but none were successful. After finding growth hormone (GH) deficiency, we started treatment with recombinant GH. He had immediate relief of pain and complete healing of ulcers. We postulate that the healing of the ulcers can be attributed to the GH-promoting effect on dermal connective tissue.
doi_str_mv 10.1016/S0140-6736(01)05413-7
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His legs were swollen, with multiple cutaneous ulcers. He had severe painful crises, and was totally incapacitated. After the diagnosis of erythermalgia was made, numerous treatments were tried, but none were successful. After finding growth hormone (GH) deficiency, we started treatment with recombinant GH. He had immediate relief of pain and complete healing of ulcers. 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subjects Biological and medical sciences
Blood pressure
Child
Crises
Erythromelalgia - drug therapy
Erythromelalgia - etiology
Growth Hormone - therapeutic use
Hormones
Human Growth Hormone - deficiency
Humans
Leg Ulcer - drug therapy
Leg Ulcer - etiology
Legs
Male
Medical research
Medical sciences
Pain
Pediatrics
Pharmacology. Drug treatments
Skin, nail, hair, dermoskeleton
Ulcers
Wound Healing - drug effects
title Unexpected healing of cutaneous ulcers in a short child
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