Emrah EREREN, Vedat BAKUY, Mehmet ATAY, Ali Aycan KAVALA, Saygın TÜRKYILMAZ

A Treatment Approach in a Toxic Hepatitis Patient Having Chronic Lymphedema and Stasis Ulcer

Venöz kaynaklı olmayan bacak ülseri sebepleri arasında kronik lenfödem önemli bir yer tutmaktadır ve lenfödem olan hastalarda bacak ülserleri az da olmayan bir sıklıkla görülmektedir. Lenfödeme bağlı gelişen staz ülserlerinde öncelikli olarak yara bakımı, pnömotik kompresyon ve vakum destekli yara bakım cihazları kullanılmalıdır. Sistemik antibiyotik tedavileri etkene yönelik olmadan düzensiz kullanıldığı zaman hastaya faydadan çok zarar verebilmektedir. Bu yazımızda kronik lenfödemi olan bir hastada, bacak ülserlerini tedavi etmek amacıyla uzun süre ile düzensiz antibiyotik ve analjezik kullanımına bağlı olarak toksik hepatit gelişen bir vakayı sunuyoruz.

Lenfödem ve Kronik Staz Ülseri Olan Toksik Hepatitli Bir Olguda Tedavi Yaklaşımı

Chronic lymphedema hold an important place among the reasons of leg ulcers other than venous disorders, and leg ulcers in patients with lymphedema are seen frequently. Primarily wound maintenance, pneumatic compression and vacuum assisted wound closure systems should be used in stasis ulcers developing due to lymphedema. When systematic antibiotic treatments are used irregularly and without function, it can harm the patient rather than benefit. In this article we present a chronic lymphedema patient in whom toxic hepatitis developed due to irregular antibiotic and analgesic usage in order to treat leg ulcers.

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