APLICAÇÃO DE ÁCIDO TRICLOROACÉTICO NO TRATAMENTO DE ÚLCERA CRÓNICA

Background: The treatment of leg ulcers is multidisciplinary and varies with extent, duration, factors that triggered the wound and also, patient comorbities. In literature, many studies have focused only on the treatment of venous ulcers in patients without comorbidities or with compensated comorbidities, which, in practice, correspond to a restricted group of patient. There is no study that addresses the treatment of multifactorial ulcers in patients with multiple comorbidities.Methods: Case report about a patient with comorbidities and multifactorial chronic ulcer, who was submitted to 66 applications of trichloroacetic acid (ATA) in a concentration of 90%.Results: The ulcer was complete healed in 10 months with pain control and improvement of quality of life.Conclusion: Our case report discusses the application of trichloroacetic acid (ATA) in a concentration of 90% as an effective therapeutic option, low cost and easy applicability in patients with multiple comorbidities and multifactorial decompensated chronic ulcers.Introdução: O tratamento de úlcera crónica é multidisciplinar e depende da extensão, da duração, dos fatores que a desencadearam e também das comorbidades do paciente. Na literatura, a maioria dos estudos aborda tratamento da úlcera de etiologia venosa em pacientes sem comorbidades ou com as mesmas compensadas, o que, na prática, corresponde a um grupo restrito de pacientes. Há a necessidade de estudos sobre tratamento de úlceras multifatoriais em pacientes com múltiplas comorbidades.Método: Relato de caso de paciente com comorbidades descompensadas, portador de úlcera crónica multifatorial, submetido a 66 aplicações do ácido tricloroacético (ATA) na concentração de 90%.Resultados: Cicatrização completa da úlcera em 10 meses com melhora da dor crónica e melhora considerável da qualidade de vida do paciente.Conclusão: Esse relato de caso apresenta o ácido tricloroacético como opção terapêutica efetiva, de baixo custo e fácil aplicabilidade para pacientes com múltiplas comorbidades, portadores de úlceras crônicas multifatoriais

Primary isolated osteoma cutis of the face

We report a healthy, 44-year-old woman presentingwith an at least a 20-year history of hardened papulesin the forehead region, extending to the scalp.The biopsy and histopathologic exam confirmed adiagnosis of osteoma cutis. We review the literaturereview and discuss the classification of the cutaneousossification process presented, along with the resultsof the surgical treatment

Primary isolated osteoma cutis of the face

We report a healthy, 44-year-old woman presentingwith an at least a 20-year history of hardened papulesin the forehead region, extending to the scalp.The biopsy and histopathologic exam confirmed adiagnosis of osteoma cutis. We review the literaturereview and discuss the classification of the cutaneousossification process presented, along with the resultsof the surgical treatment