scholarly journals Buprenorphine for Intractable Pain of Skin Ulcer Associated with Calcific Uremic Arteriolopathy (Calciphylaxis): A Case Report

2018 ◽  
Vol 13 (1) ◽  
pp. 63-68
Author(s):  
Terumasa Noike ◽  
Nirou Kikuchi ◽  
Takuya Yanagida ◽  
Hiromichi Seki ◽  
Mai Shiohara ◽  
...  
Keyword(s):  
Case Report ◽  
Skin Ulcer ◽  
Intractable Pain ◽  
Calcific Uremic Arteriolopathy

Potential effect of sodium thiosulfate in calciphylaxis: remission of intractable pain

2020 ◽  
pp. 1-10
Author(s):  
Canlin Yang ◽  
Yuqiu Liu ◽  
Haifeng Ni ◽  
Xiaomin Li ◽  
Hong Liu ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Poor Prognosis ◽  
Sodium Thiosulfate ◽  
Potential Effect ◽  
Skin Ulcer ◽  
Intractable Pain ◽  
Maintenance Haemodialysis ◽  
Calcific Uremic Arteriolopathy ◽  
Skin Damages ◽  
Intravenous Sodium

Abstract Calciphylaxis, a rare disease mainly seen in patients with chronic kidney disease, is characterised by ischaemic skin damages and excruciating pain. Calciphylaxis has poor prognosis which often results in amputation and high mortality. Although guidelines for the management of calciphylaxis are not available, sodium thiosulfate has showed efficacy in many clinical reports. We report the case of a 64-year-old advanced calciphylaxis male patient who had two amputations due to intolerable pain manifested as deteriorating ulcer. After he was treated with intravenous sodium thiosulfate (STS), his pain was significantly relieved with a healing trend of the big wound. One more amputation for the remission of intractable pain was avoided. The treatment experience indicates that sodium thiosulfate is of great value in quick pain relief and reducing suffering of calciphylaxis patients. Keywords: Calciphylaxis, Calcific uremic arteriolopathy, Painful skin ulcer, Maintenance haemodialysis, Continuous....

Use of trafermin to treat a skin ulcer after repair of a deep auricular laceration: A case report

2005 ◽  
Vol 16 (5-6) ◽  
pp. 345-346 ◽  
Author(s):  
Tohru Tanigawa ◽  
Meiho Nakayama ◽  
Tomohiko Nakamura ◽  
Shigeru Inafuku
Keyword(s):  
Case Report ◽  
Skin Ulcer

A novel screwing method to prevent decubitus and skin ulcer in severe kyphoscoliosis after spinal cord injury: A case report

2020 ◽  
Vol 25 (4) ◽  
pp. 719-723
Author(s):  
Shoji Seki ◽  
Yoshiharu Kawaguchi ◽  
Hayato Mine ◽  
Tomoatsu Kimura
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Case Report ◽  
Skin Ulcer ◽  
Cord Injury

scholarly journals Ketamine Treatment for Intractable Pain in a Patient with Severe Refractory Complex Regional Pain Syndrome: A Case Report

2008 ◽  
Vol 3;11 (5;3) ◽  
pp. 339-342
Author(s):  
Paul E. Schulz
Keyword(s):  
Case Report ◽  
Complex Regional Pain Syndrome ◽  
Upper Extremity ◽  
Pain Syndrome ◽  
Future Research ◽  
Intractable Pain ◽  
Ganglion Block ◽  
Ketamine Infusion ◽  
Patient Reported ◽  
Intravenous Ketamine

In this case report, we describe the effect of ketamine infusion in a case of severe refractory complex regional pain syndrome I (CRPS I). The patient was initially diagnosed with CRPS I in her right upper extremity. Over the next 6 years, CRPS was consecutively diagnosed in her thoracic region, left upper extremity, and both lower extremities. The severity of her pain, combined with the extensive areas afflicted by CRPS, caused traumatic emotional problems for this patient. Conventional treatments, including anticonvulsants, bisphosphonates, oral steroids and opioids, topical creams, dorsal column spinal cord stimulation, spinal morphine infusion, sympathetic ganglion block, and sympathectomy, failed to provide long-term relief from pain. An N-methyl-d-aspartate (NMDA) antagonist inhibitor, ketamine, was recently suggested to be effective at resolving intractable pain. The patient was then given several infusions of intravenous ketamine. After the third infusion, the edema, discoloration, and temperature of the affected areas normalized. The patient became completely pain-free. At one-year of follow-up, the patient reported that she has not experienced any pain since the last ketamine infusion. Treatment with intravenous ketamine appeared to be effective in completely resolving intractable pain caused by severe refractory CRPS I. Future research on this treatment is needed. Key words: Ketamine, Complex Regional Pain Syndrome (CRPS), treatment

Dorsal root ganglion stimulation for the treatment of severe intractable pain related to obturator nerve entrapment neuropathy: A case report

2020 ◽  
Vol 198 ◽  
pp. 106138 ◽  
Author(s):  
Reda Tolba ◽  
Alvah Tyson Wickboldt ◽  
Ashley Peairs ◽  
Hossam Eldin Mohamed ◽  
Myles Storey ◽  
...  
Keyword(s):  
Case Report ◽  
Dorsal Root Ganglion ◽  
Dorsal Root ◽  
Obturator Nerve ◽  
Nerve Entrapment ◽  
Entrapment Neuropathy ◽  
Intractable Pain

Chronic tophaceous gout. A case report

1991 ◽  
Vol 81 (1) ◽  
pp. 22-27 ◽  
Author(s):  
TA Graefen ◽  
J Stern ◽  
M Joyce ◽  
A Sion
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Medical Literature ◽  
Surgical Intervention ◽  
Joint Destruction ◽  
Severe Case ◽  
Current Medical ◽  
Intractable Pain ◽  
Tophaceous Gout ◽  
Loss Of Motion

A review of gout is presented, followed by a discussion of the current medical literature on diagnosis, differential diagnosis, staging, and treatment. Chronic tophaceous gout is not as prevalent as it once was because of early diagnosis and treatment, but it is still encountered in the podiatric practice. A severe case of chronic tophaceous gout is presented. The patient was successfully treated by surgical intervention. Although surgery may be avoided in most cases, it is indicated when intractable pain, loss of motion, and massive joint destruction are present.

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