Wound Management of Systemic Sclerosis using Maggots: Out-of-Sight Out-of-Mind

A 54-year-old female patient with a diagnosis of systemic sclerosis presented with painful, necrotic and infected digital ulcers that occurred 9 months ago. During the course of nine months she reported to receive a total of 90 sessions of hyperbaric oxygen therapy at 2.4  atm absolute pressure for 2 hours each; with no significant improvement. On physical examination, she had necrosis over the tips of the first, fourth, and fifth toes as well as on the plantar aspects of the metatarsal heads (Fig. 1A).
Source: Journal of the American College of Certified Wound Specialists - Category: Dermatology Authors: Source Type: research