Jornal Vascular Brasileiro
http://www.jvascbras.org/article/doi/10.1590/1677-5449.004818
Jornal Vascular Brasileiro
Case Report

Glicose como causa e tratamento de necrose cutânea

Glucose as a cause of and treatment for cutaneous necrosis

Marcelo Luiz Brandão, Amina Muhamad Mota Mustafá, Jordana Lopes Costa

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Resumo

A escleroterapia continua sendo um dos procedimentos mais executados pelos cirurgiões vasculares brasileiros. O conhecimento das suas complicações é imprescindível para que possamos evitá-las. Os efeitos colaterais graves desse método de tratamento para as telangiectasias dos membros inferiores são raros e frequentemente associados a um erro técnico ou à dosagem injetada. São predominantemente locais, apresentando-se, algumas vezes, como uma situação de difícil resolução. Relatamos um caso de formação de necrose cutânea após escleroterapia química com glicose hipertônica (75%) e sua cicatrização utilizando preparação tópica contendo vaselina e glicose 60%, cujo resultado estético foi satisfatório.

Palavras-chave

cicatrização; escleroterapia; glicose; telangiectasia; úlcera cutânea; vaselina.

Abstract

Sclerotherapy remains one of the procedures most frequently performed by Brazilian vascular surgeons. Knowledge of its complications is indispensable to enable us to avoid them. The severe side effects of this method of treatment for telangiectasias of the lower limbs are rare and are often associated with technical errors or the dose injected. Complications are predominantly local, but are sometimes difficult to resolve. We report a case of formation of cutaneous necrosis after chemical sclerotherapy using hypertonic glucose (75%), which healed when treated with a topical preparation containing vaseline and 60% glucose, with satisfactory esthetic results.

Keywords

wound healing; sclerotherapy; glucose; telangiectasis; skin ulcer; petrolatum.

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