RESUMO
BACKGROUND: Diabetes mellitus 2 has become a global problem. It is estimated that 15% to 25% of patients could develop a chronic ulcer in their life, and nearly 33% of direct care costs of the diabetes mellitus 2 is spent on treating these ulcers. Mesenchymal stem cells have emerged as a promising cell source for the treatment of these ulcers. CLINICAL CASE: The case is presented of a 67 year-old male with a history of diabetes mellitus, acute myocardial infarction, and food ulcer chronic involving right foot and part of his leg. He was treated with mesenchymal stem cell management, resulting in skin graft integration and full coverage of the lesion. CONCLUSION: The implementation of mesenchymal stem cell techniques for treatment of chronic ulcer is feasible. The impact on the population would lead to a significant improvement in their quality of life and reduce healthcare spending.
Assuntos
Diabetes Mellitus Tipo 2/complicações , Pé Diabético/cirurgia , Úlcera do Pé/cirurgia , Úlcera da Perna/cirurgia , Transplante de Células-Tronco Mesenquimais , Transplante de Pele , Idoso , Amputação Cirúrgica , Antibacterianos/uso terapêutico , Células da Medula Óssea , Desbridamento , Pé Diabético/etiologia , Infecções por Escherichia coli/tratamento farmacológico , Infecções por Escherichia coli/etiologia , Infecções por Escherichia coli/cirurgia , Úlcera do Pé/etiologia , Úlcera do Pé/microbiologia , Humanos , Úlcera da Perna/etiologia , Úlcera da Perna/microbiologia , Masculino , Infecções Cutâneas Estafilocócicas/tratamento farmacológico , Infecções Cutâneas Estafilocócicas/etiologia , Infecções Cutâneas Estafilocócicas/cirurgia , Coleta de Tecidos e Órgãos/métodos , Dedos do Pé/cirurgia , Transplante Autólogo , Infecção dos Ferimentos/etiologiaRESUMO
The purpose of this article is to present a case of phalanx osteoblastoma. We will start by saying that osteoblastoma is rare, it accounts for 1% of primary bone tumors; it is most frequent in the posterior spine, and is very unusual in the phalanges. Early diagnosis is desirable due to its similarity, mainly radiologic, with other entities that result in similar bone lesions. Clinical case. We present the case of a 39-year-old male who presented with swelling of the proximal phalanx of the 5th digit of the left hand that began one year before. The histopathologic study of the tumor lesion showed that it was composed of prominent osteoblasts. No mitoses were observed. Enblock surgical resection of the lesion and curettage were performed.