Publications by authors named "Ryuta Ikegami"
"Wound, Pressure Ulcer, and Burn Guidelines-5: Guidelines for the management of lower leg ulcers and varicose veins, second edition" is revised from the first edition, which was published in the Japanese Journal of Dermatology in 2011. The guidelines were drafted by the Wound, Pressure Ulcer, and Burn Guidelines Drafting Committee delegated by the Japanese Dermatological Association and intend to facilitate physicians' clinical decisions in preventing, diagnosing and management of lower leg ulcers and varicose veins. We updated all sections by collecting documents published since the publication of the first edition.
View Article and Find Full Text PDFThe Japanese Dermatological Association prepared the clinical guidelines for the "Wound, pressure ulcer and burn guidelines", second edition, focusing on treatments. Among them, "Guidelines for wounds in general" is intended to provide the knowledge necessary to heal wounds, without focusing on particular disorders. It informs the basic principles of wound treatment, before explanations are provided in individual chapters of the guidelines.
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- The second edition of the "Wound, pressure ulcer and burn guidelines" updates the first edition from 2016 to provide current recommendations for managing burn injuries.
- Created by the Wound, Pressure Ulcer and Burn Guidelines Drafting Committee of the Japanese Dermatological Association, the guidelines aim to aid physicians in prevention, diagnosis, and treatment decisions.
- New additions include updated recommendations on dressing materials covered by Japan’s national health insurance and new clinical questions focusing on the initial treatment of electrical and chemical burns, as well as the use of escharotomy.
Article Synopsis
- The Japanese Dermatological Association created guidelines for treating skin ulcers linked to connective tissue diseases and vasculitis, aimed at improving dermatological care.
- Skin ulcers can arise from multiple conditions such as systemic sclerosis, systemic lupus erythematosus (SLE), dermatomyositis, rheumatoid arthritis (RA), various vasculitides, and antiphospholipid antibody syndrome (APS).
- The guidelines include specific diagnostic and treatment approaches for each condition, along with algorithms and clinical questions tailored for effective management.
The patient was a 67-year-old man who was started on peritoneal dialysis for treatment of diabetic nephropathy in March 2010. He received an ABO-compatible living-donor kidney transplant from his wife in October 2010. The immunosuppressive regimen consisted of tacrolimus, mycophenolate mofetil, steroid and basiliximab.
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