Chronic sole ulcer in a child with dyskeratosis congenita: An atypical wound successfully treated with punch grafting. Issue 6 (10th August 2020)

• Record Type: Journal Article
• Authors: Quintana‐Castanedo, Lucía; Feito‐Rodríguez, Marta; Pérez‐Conde, Isabel; Maseda‐Pedrero, Rocío; Chiloeches‐Fernández, Clara; de Lucas Laguna, Raúl
• Is Part Of: Pediatric dermatology. Volume 37:Issue 6(2020)
• Page Start: 1131
• Page End: 1134
• Publication Date: 2020-08-10
• Subjects: atypical wounds -- dyskeratosis congenita -- pain control -- punch grafting; Pediatric dermatology -- Periodicals; Children -- Diseases -- Periodicals; 618.925
• DOI: 10.1111/pde.14316
• Languages: English
• ISSNs: 0736-8046

Abstract

Abstract: Dyskeratosis congenita (DC) is an unusual inherited disease characterized by the triad of mucosal leukoplakia, nail dystrophy, and skin pigmentation. Hyperkeratosis of the palms and soles is another reported skin finding. This hyperkeratosis can lead to fissures, chronic erosion, and deep ulcerations. These atypical wounds are not only a diagnostic but a therapeutic challenge for clinicians, and there are no standardized treatments for these types of chronic wounds. Punch grafting is a traditional and minimally invasive technique to enhance wound healing, and it has been associated with significant and quick pain reduction in ulcers with various underlying causes. Herein, we describe a patient with DC with a chronic and refractory plantar ulcer successfully treated with punch grafting.