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CASE STUDIES
Case History #205 - Insufficency Ulcer

DATE:
March 1998

PATIENT:
59 year old Caucasian female.

DIAGNOSIS:
CHF, RA, NIDDM, COPD, Osteoporosis, Bronchitis, Hypertension; Anemia, GI bleeding, Prior multiple joint replacements.

MEDICAL HISTORY:
Patient "bumped" left calf on a wheelchair. Area exacerbated from a bruise to a larger ulceration. Patient also taking 150mg. Predisone QD. Various wound techniques were employed without progression. Amputation recommended.

TREATMENT:
Daily dressing changes consisting of cleansing the wound with saline, application of AmeriGel® Wound Dressing, moist saline gauze and covered with ProFore compression garment.

RESULTS:
Overall size of wound 200.25cm x 8cm initially, and measured 140.82cm x 4cm 6 days later (30% reduction in size.) Wound was reduced 88% in 66 days. Ulcer considered closed 08/15/98 and did not required additional debridement during entire treatment.

Day 1 - 3/24/98
Day 37 - 4/29/98
Day 66 - 5/27/98
Day 116 - 7/16/98
Day 146 - 8/15/98

 

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After thirty years in private practice, I cannot believe the incredible results using AmeriGel (Wound Dressing) compared to soaking after nail matrixectomy. In fact, when I give the patients a choice between soaking and AmeriGel, 99% request AmeriGel. This is a win-win situation for everybody.
Harvey Wine, DPM
Plano, TX

 

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