Pressure ulcers and Charcot's definitions: report on two cases

Sao Paulo Medical Journal

Hélio Afonso Ghizoni Teive¹  Ricardo William Genaro Rodrigues De Campos¹  Renato Puppi Munhoz¹  Lineu César Werneck¹ 

[1] ,Universidade Federal do Paraná Hospital das Clínicas Department of Internal MedicineCuritiba Paraná ,Brazil

关键词: Pressure ulcer;    Outcome and process assessment;    Persistent vegetative state;    Amyotrophic lateral sclerosis;    Úlcera de pressão;    Avaliação de processos e resultados;    Estado vegetativo persistente;    Esclerose amiotrófica lateral;   

DOI  :  10.1590/S1516-31802008000400005

来源: SciELO

【 摘 要 】

CONTEXT AND OBJECTIVE: Pressure ulcers are lesions caused by inadequate blood flow and tissue malnourishment secondary to prolonged pressure on skin, soft connective tissues, muscle and/or bones. The authors report two distinct clinical situations of severely compromised neurological patients who shared several predisposing factors for pressure ulcers, but with opposite outcomes regarding the development of pressure ulcers. CASE REPORTS: The first case was a young patient in a persistent vegetative state who developed pressure ulcers that resulted in secondary sepsis and death. The second case was a patient with a diagnosis of amyotrophic lateral sclerosis who, in spite of being bedridden for several months with severe immobility, never developed pressure ulcers. These intriguing contrary clinical situations had already been defined by Charcot in the nineteenth century, with his creation of the expression "decubitus ominosus". He indicated that patients with amyotrophic lateral sclerosis usually did not develop this form of complication, as was illustrated by the cases presented here.

【 授权许可】

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