Systemic scleroderma: An approach from plastic surgery

Introduction: Systemic sclerosis (SSc) is an autoimmune disease of the connective tissue that is clinically characterized by dermal thickening, which occurs due to the accumulation of connective tissue, and may involve other organs and the limbs. The multifactorial etiology of this disease is relate...

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Autores:
Rodríguez-Franco, Karen
Miranda-Díaz, Audrey José
Hoyos-Restrepo, Juan David
Meléndez, Genny Liliana
Tipo de recurso:
Article of journal
Fecha de publicación:
2018
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/64954
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/64954
http://bdigital.unal.edu.co/65977/
Palabra clave:
61 Ciencias médicas; Medicina / Medicine and health
Scleroderma Systemic
Surgery Plastic
Hand
Leg Ulcer
Esclerodermia sistémica
Cirugía plástica
Mano
Úlcera de la pierna
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
id UNACIONAL2_3121e5cba4c4fb2e4ee2261f1379aa18
oai_identifier_str oai:repositorio.unal.edu.co:unal/64954
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Systemic scleroderma: An approach from plastic surgery
title Systemic scleroderma: An approach from plastic surgery
spellingShingle Systemic scleroderma: An approach from plastic surgery
61 Ciencias médicas; Medicina / Medicine and health
Scleroderma Systemic
Surgery Plastic
Hand
Leg Ulcer
Esclerodermia sistémica
Cirugía plástica
Mano
Úlcera de la pierna
title_short Systemic scleroderma: An approach from plastic surgery
title_full Systemic scleroderma: An approach from plastic surgery
title_fullStr Systemic scleroderma: An approach from plastic surgery
title_full_unstemmed Systemic scleroderma: An approach from plastic surgery
title_sort Systemic scleroderma: An approach from plastic surgery
dc.creator.fl_str_mv Rodríguez-Franco, Karen
Miranda-Díaz, Audrey José
Hoyos-Restrepo, Juan David
Meléndez, Genny Liliana
dc.contributor.author.spa.fl_str_mv Rodríguez-Franco, Karen
Miranda-Díaz, Audrey José
Hoyos-Restrepo, Juan David
Meléndez, Genny Liliana
dc.subject.ddc.spa.fl_str_mv 61 Ciencias médicas; Medicina / Medicine and health
topic 61 Ciencias médicas; Medicina / Medicine and health
Scleroderma Systemic
Surgery Plastic
Hand
Leg Ulcer
Esclerodermia sistémica
Cirugía plástica
Mano
Úlcera de la pierna
dc.subject.proposal.spa.fl_str_mv Scleroderma Systemic
Surgery Plastic
Hand
Leg Ulcer
Esclerodermia sistémica
Cirugía plástica
Mano
Úlcera de la pierna
description Introduction: Systemic sclerosis (SSc) is an autoimmune disease of the connective tissue that is clinically characterized by dermal thickening, which occurs due to the accumulation of connective tissue, and may involve other organs and the limbs. The multifactorial etiology of this disease is related to alterations in remodeling interactions of the extracellular matrix (ECM), immune function and presence of proliferative vasculopathy under genetic and environmental influence.Objective: To conduct a literature review on medical and surgical management from the point of view skin, hand and finger lesions surgery, as well as facial alterations in patients with systemic scleroderma.Materials and methods: A bibliographic search was performed in the Medline, LILACS, PubMed, EMBASE and Current Contents databases, using the keywords “systemic scleroderma”, “plastic surgery”, “hand” and “ulcers”.Results: SSc requires a multidisciplinary management, since pharmacological therapy is indicated for some cases and complementary surgical management is better for others.Conclusion: This pathology significantly affects the skin by causing lesions ranging from digital ulcers to facial atrophy, which are susceptible to management by plastic surgery.
publishDate 2018
dc.date.issued.spa.fl_str_mv 2018-04-01
dc.date.accessioned.spa.fl_str_mv 2019-07-02T23:36:51Z
dc.date.available.spa.fl_str_mv 2019-07-02T23:36:51Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.issn.spa.fl_str_mv ISSN: 2357-3848
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/64954
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identifier_str_mv ISSN: 2357-3848
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dc.relation.spa.fl_str_mv https://revistas.unal.edu.co/index.php/revfacmed/article/view/58618
dc.relation.ispartof.spa.fl_str_mv Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de Medicina
Revista de la Facultad de Medicina
dc.relation.references.spa.fl_str_mv Rodríguez-Franco, Karen and Miranda-Díaz, Audrey José and Hoyos-Restrepo, Juan David and Meléndez, Genny Liliana (2018) Systemic scleroderma: An approach from plastic surgery. Revista de la Facultad de Medicina, 66 (2). pp. 237-245. ISSN 2357-3848
dc.rights.spa.fl_str_mv Derechos reservados - Universidad Nacional de Colombia
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional
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dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
Derechos reservados - Universidad Nacional de Colombia
http://creativecommons.org/licenses/by-nc/4.0/
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eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá - Facultad de Medicina
institution Universidad Nacional de Colombia
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spelling Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de Colombiahttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Rodríguez-Franco, Karen3df33262-6a76-428e-bd63-89f9cab862a0300Miranda-Díaz, Audrey Joséa6214edf-7983-4fa5-9668-380d9b595898300Hoyos-Restrepo, Juan Davidf55805e7-f39a-4bac-ac6c-bc1987c30649300Meléndez, Genny Liliana1fda708b-4b97-476c-af59-22cb91df9bbf3002019-07-02T23:36:51Z2019-07-02T23:36:51Z2018-04-01ISSN: 2357-3848https://repositorio.unal.edu.co/handle/unal/64954http://bdigital.unal.edu.co/65977/Introduction: Systemic sclerosis (SSc) is an autoimmune disease of the connective tissue that is clinically characterized by dermal thickening, which occurs due to the accumulation of connective tissue, and may involve other organs and the limbs. The multifactorial etiology of this disease is related to alterations in remodeling interactions of the extracellular matrix (ECM), immune function and presence of proliferative vasculopathy under genetic and environmental influence.Objective: To conduct a literature review on medical and surgical management from the point of view skin, hand and finger lesions surgery, as well as facial alterations in patients with systemic scleroderma.Materials and methods: A bibliographic search was performed in the Medline, LILACS, PubMed, EMBASE and Current Contents databases, using the keywords “systemic scleroderma”, “plastic surgery”, “hand” and “ulcers”.Results: SSc requires a multidisciplinary management, since pharmacological therapy is indicated for some cases and complementary surgical management is better for others.Conclusion: This pathology significantly affects the skin by causing lesions ranging from digital ulcers to facial atrophy, which are susceptible to management by plastic surgery.Introducción. La esclerosis sistémica (ES) es una enfermedad autoinmune del tejido conectivo que se caracteriza clínicamente por un engrosamiento cutáneo, el cual se da debido a la acumulación de tejido conectivo y puede afectar a otros órganos y a las extremidades. La etiología multifactorial de esta enfermedad corresponde a la interacción de alteraciones en el remodelamiento de la matriz extracelular, función inmunitaria y presencia de vasculopatía proliferativa bajo influencia genética y medioambiental.Objetivo. Realizar una revisión sobre el manejo médico y quirúrgico desde el punto de vista de la cirugía plástica de las lesiones en piel y manos y las alteraciones faciales de los pacientes con ES.Materiales y métodos. Se realizó una búsqueda bibliográfica en las bases de datos Medline, LILACS, PubMed, EMBASE y Current contents con las palabras claves esclerodermia sistémica, cirugía plástica, mano y ulceras.Resultados. La ES requiere manejo multidisciplinario; se presentan casos en los que se indica terapia farmacológica y otros en los que el manejo es quirúrgico complementario.Conclusión. Esta patología afecta de manera importante la piel al provocar lesiones que van desde ulceras digitales hasta atrofia facial, las cuales son susceptibles de manejo por el área de cirugía plástica.application/pdfspaUniversidad Nacional de Colombia - Sede Bogotá - Facultad de Medicinahttps://revistas.unal.edu.co/index.php/revfacmed/article/view/58618Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de MedicinaRevista de la Facultad de MedicinaRodríguez-Franco, Karen and Miranda-Díaz, Audrey José and Hoyos-Restrepo, Juan David and Meléndez, Genny Liliana (2018) Systemic scleroderma: An approach from plastic surgery. Revista de la Facultad de Medicina, 66 (2). pp. 237-245. ISSN 2357-384861 Ciencias médicas; Medicina / Medicine and healthScleroderma SystemicSurgery PlasticHandLeg UlcerEsclerodermia sistémicaCirugía plásticaManoÚlcera de la piernaSystemic scleroderma: An approach from plastic surgeryArtículo de revistainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/ARTORIGINAL58618-389462-1-PB.pdfapplication/pdf601461https://repositorio.unal.edu.co/bitstream/unal/64954/1/58618-389462-1-PB.pdf156d3c67dc9e1cb962a637a42d2fb522MD51THUMBNAIL58618-389462-1-PB.pdf.jpg58618-389462-1-PB.pdf.jpgGenerated Thumbnailimage/jpeg8448https://repositorio.unal.edu.co/bitstream/unal/64954/2/58618-389462-1-PB.pdf.jpg19e817703795be2f16ece6d742cc69aaMD52unal/64954oai:repositorio.unal.edu.co:unal/649542023-04-28 23:05:45.737Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.co