Management of severe rheumatological disease in the burn center

Preetham Reddy; David H Ahrenholz; William J Mohr III; Elie Gertner

doi:10.1097/BCR.0b013e318233fad6

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Management of severe rheumatological disease in the burn center

Journal article

Peer reviewed

Management of severe rheumatological disease in the burn center

Preetham Reddy, David H Ahrenholz, William J Mohr III and Elie Gertner

Journal of burn care & research, Vol.33(3), pp.e153-e159

05/01/2012

DOI: 10.1097/BCR.0b013e318233fad6

PMID: 22079910

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Abstract

In recent years, Burn Center has evolved to become a "wound intensive care unit" treating disease processes other than those due to thermal injury. Recent data have shown that more than 16% of admissions to Burn Centers are for nonburn injuries, particularly severe dermatologic diseases. The role of the Burn Center has been expanded to include treatment of patients with severe cutaneous manifestations of rheumatologic diseases. This approach has not been described before. All collagen vascular disease admissions to the Burn Center from 2005 to 2010 have been reviewed. There were 16 admissions where intensive wound management was a major component of the disease management. Disease processes included systemic lupus erythematosus, progressive systemic sclerosis, Raynaud's phenomenon, antiphospholipid syndrome, and dermatomyositis, among others. The authors describe five of these cases in detail. Comanagement of these patients by the Rheumatology and Burn services led to outstanding, successful outcomes. Collagen vascular diseases represent another area where the Burn Center may be the appropriate site for therapy.

Academic Medical Centers

Adult

Aged

Antiphospholipid Syndrome - complications

Antiphospholipid Syndrome - diagnosis

Antiphospholipid Syndrome - therapy

Burn Units

Burns - complications

Burns - diagnosis

Burns - therapy

Combined Modality Therapy

Disease Management

Female

Follow-Up Studies

Humans

Injury Severity Score

Lupus Erythematosus, Systemic - complications

Lupus Erythematosus, Systemic - diagnosis

Lupus Erythematosus, Systemic - therapy

Male

Middle Aged

Raynaud Disease - complications

Raynaud Disease - diagnosis

Raynaud Disease - therapy

Retrospective Studies

Rheumatic Diseases - complications

Rheumatic Diseases - diagnosis

Rheumatic Diseases - therapy

Risk Assessment

Sampling Studies

Scleroderma, Systemic - complications

Scleroderma, Systemic - diagnosis

Scleroderma, Systemic - therapy

Severity of Illness Index

Sjogren's Syndrome - complications

Sjogren's Syndrome - diagnosis

Sjogren's Syndrome - therapy

Treatment Outcome

Young Adult

Details

Title: Subtitle: Management of severe rheumatological disease in the burn center
Creators: Preetham Reddy - Regions Hospital
David H Ahrenholz - Regions Hospital
William J Mohr III
Elie Gertner - Regions Hospital
Resource Type: Journal article
Publication Details: Journal of burn care & research, Vol.33(3), pp.e153-e159
DOI: 10.1097/BCR.0b013e318233fad6
PMID: 22079910
ISSN: 1559-047X
eISSN: 1559-0488
Language: English
Date published: 05/01/2012
Academic Unit: Surgery
Record Identifier: 9984701657802771

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3 Times Cited - Web of Science

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