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Malleolar Ulceration Induced by Hydroxyurea Therapy for Chronic Eosinophila
A 59-year-old African American female presented to a plastic surgery office in consultation for a very painful non-healing wound of her right lateral malleolus. An incisional biopsy was performed and ultimately a diagnosis of hydroxyurea-induced ulcer was concluded. Descriptions of this entity are rare in the surgical and wound care professional literature. This diagnosis does appear in the hematology/oncology literature; however, these practitioners may not be the first to examine a patient with the development of such an ulcer. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - January 5, 2017 Category: Dermatology Authors: Justin R. Bryant, Peter Andrade, Raymond T. Hajjar, Christopher R. Lumley, Kongkrit Chaiyasate Tags: Case Study Source Type: research

Malleolar ulceration induced by Hydroxyurea therapy for chronic eosinophila
A 59-year-old African American female presented to a plastic surgery office in consultation for a very painful non-healing wound of her right lateral malleolus. An incisional biopsy was performed and ultimately a diagnosis of hydroxyurea-induced ulcer was concluded. Descriptions of this entity are rare in the surgical and wound care professional literature. This diagnosis does appear in the hematology/oncology literature; however, these practitioners may not be the first to examine a patient with the development of such an ulcer. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - January 4, 2017 Category: Dermatology Authors: Justin R. Bryant, Peter Andrade, Raymond T. Hajjar, Christopher R. Lumley, Kongkrit Chaiyasate Source Type: research

Novel Insights on Understanding of Keloid Scar: Article Review
Keloid scar, dermal benign fibro-proliferative growth that extends outside the original wound and invades adjacent dermal tissue due to extensive production of extracellular matrix, especially collagen, which caused by over expression of cytokines and growth factors. Although many attempts were made to understand the exact pathophysiology and the molecular abnormalities, the pathogenesis of keloid scar is yet to be determined. Even though there are several treatment options for keloid scars include combination of medical and surgical therapies like combination of surgical removal followed by cryotherapy or intralesional st...
Source: Journal of the American College of Certified Wound Specialists - November 29, 2016 Category: Dermatology Authors: Walid Mari, Sami G. Alsabri, Najib Tabal, Sara Younes, Abdulamagid Sherif, Richard Simman Tags: Review Article Source Type: research

Novel insights on understanding of Keloid Scar: Article Review
Keloid scar, dermal benign fibro proliferative growth that extend outside the original wound and invade adjacent dermal tissue due to extensive production of extracellular matrix, especially collagen, which caused by over expression of cytokines and growth factors. Although many attempt were made to understand the exact pathophysiology and the molecular abnormalities, the pathogenesis of keloid scar is yet to be determined. Even though there are several treatment options for keloid scars includes combination of medical and surgical therapies like combination of surgical removal followed by cryotherapy or intralesional ster...
Source: Journal of the American College of Certified Wound Specialists - November 28, 2016 Category: Dermatology Authors: Walid Mari, Sami G. Alsabri, Najib Tabal, Sara Younes, Abdulamagid Sherif, Richard Simman Source Type: research

The Use of a No-sting Barrier Film Treatment Protocol Compared to Routine Clinical Care for the Treatment of Stage 1 and 2 Pressure Injuries in Long-term Care
This study aims to determine whether a no-sting barrier film (NSBF) treatment protocol is more effective than current physician practices for treating stage 1 and 2 pressure injuries in LTC. A retrospective cohort study of 129 residents from one LTC facility was performed after a six-month implementation trial of a NSBF treatment protocol. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - November 17, 2016 Category: Dermatology Authors: Adrian Chan, Henry Yu-Hin Siu Tags: Research Paper Source Type: research

The use of a no-sting barrier film treatment protocol compared to routine clinical care for the treatment of stage 1 and 2 pressure ulcers in long-term care
Pressure ulcers increase morbidity and mortality in geriatric patients by 400%. Residents in long-term care (LTC) are at high risk of developing pressure ulcers because of limited mobility, poor nutritional status, impaired cognition, and incontinence. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - November 16, 2016 Category: Dermatology Authors: Adrian Chan, Henry Yu-Hin Siu Source Type: research

Old War Scar Revisited
We report a case of an 82-year-old male that presented with a painful fluctuating mass on the right arm localized to the site of an old grenade blast injury he sustained many years earlier. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - October 3, 2016 Category: Dermatology Authors: Susan E. Wozniak, Stephanie Zuo, Kamran Khan, JoAnn Coleman Tags: Case Study Source Type: research

Old War Scar Revisited
In 1828, Jean Nicholas Marjolin, a French surgeon, first described the findings of a neoplastic development arising from a burn scar, now more commonly referred to as a Marjolin ’s ulcer. A Marjolin’s ulcer describes malignant degeneration in any chronic wound. The majority of cases arise in burn scars and are often latent for decades. Marjolin ulcers have been widely identified in post-war time injuries. These ulcers may arise in almost any anatomical location.We repor t a case of an 82 year old male that presented with a painful fluctuating mass on the right arm localized to the site of an old grenade blast injury he...
Source: Journal of the American College of Certified Wound Specialists - October 2, 2016 Category: Dermatology Authors: Susan E. Wozniak, Stephanie Zuo, Kamran Khan, JoAnn Coleman Source Type: research

Patient Outcomes and Factors Associated with Healing in Calciphylaxis Patients Undergoing Adjunctive Hyperbaric Oxygen Therapy
Calcific uremic arteriolopathy, also known as calciphylaxis, is a rare syndrome of small vessel calcification of unknown etiology causing painful, violaceous skin lesions that progress to form chronic non-healing ulcers and gangrene. Hyperbaric oxygen therapy (HBOT) can be used as adjunctive therapy in the treatment of these ulcers. However, due to paucity of cases, there is limited data on the clinical benefit of HBOT and identifying factors associated with healing. The purpose of this study was to determine patient outcomes and factors associated with healing in patients with calciphylaxis undergoing HBOT. (Source: Journ...
Source: Journal of the American College of Certified Wound Specialists - August 29, 2016 Category: Dermatology Authors: Norman McCulloch, Susan M. Wojcik, Marvin Heyboer Tags: Research Paper Source Type: research

Patient Outcomes and Factors Associated with Healing in Calciphylaxis Patients Undergoing Adjunctive Hyperbaric Oxygen Therapy
Calcific uremic arteriolopathy, also known as calciphylaxis, is a rare syndrome of small vessel calcification of unknown etiology causing painful,violaceous skin lesions that progress to form chronic non-healing ulcers and gangrene. Hyperbaric oxygen therapy (HBOT) can be used as adjunctive therapy in the treatment of these ulcers. However, due to paucity of cases, there is limited data on the clinical benefit of HBOT and identifying factors associated with healing. The purpose of this study was to determine patient outcomes and factors associated with healing in patients with calciphylaxis undergoing HBOT. (Source: Journa...
Source: Journal of the American College of Certified Wound Specialists - August 28, 2016 Category: Dermatology Authors: Marvin Heyboer, Susan M. Wojcik, Norman McCulloch Source Type: research

Director of ACCWS Board Promoting Mission of College by Advocating for  Public Health of Diabetic Foot Care Awareness and Amputation Prevention
St. Louis, MO – Advanced Practice Dermatology Nurse and business owner, Dr. Cynthia Ann Fleck wins the Mrs. Missouri, USA Universal title and for the Mrs. USA Universal Pageant in Reno, Nevada this summer. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - August 27, 2016 Category: Dermatology Authors: Cynthia Ann Fleck Tags: Letter to the Editor Source Type: research

Director of ACCWS Board promoting mission of College by Advocating for public health of diabetic foot care awareness and amputation prevention
St. Louis, MO – Advanced Practice Dermatology Nurse and business owner, Cynthia Ann Fleck wins the Mrs. Missouri, USA Universal title and prepares for the Mrs. USA Universal Pageant in Reno, Nevada this summer. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - August 26, 2016 Category: Dermatology Authors: Donald E. Mrdjenovich Source Type: research

Cancrum Oris (Noma): The Role of Nutrition in Management
We present a case of clinically diagnosed cancrum oris in a 2-year old child in sub-saharan Africa that was conservatively managed by wound care and hyperalimentation. As the underlying factor and cause of mortality from noma is the immune depression of malnutrition, the role of active nutrition or hyperalimentation in the management of noma is extremely important. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - August 12, 2016 Category: Dermatology Authors: Elroy Patrick Weledji, Sylvia Njong Tags: Case Study Source Type: research

CANCRUM ORIS (NOMA): the role of nutrition in management
We present a case of clinically diagnosed cancrum oris in a 2-year old child in sub-saharan Africa that was conservatively managed by wound care and hyperalimentation. As the underlying factor and cause of mortalty from noma is the immune depression of malnutrition, the role of active nutrition or hyperalimentation in the management of noma is extremely important. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - August 11, 2016 Category: Dermatology Authors: Elroy Patrick Weledji, Sylvia Njong Source Type: research