Elena Conde

Hospital Universitario Infanta Leonor y Virgen de laTorre · Dermatology

For assessing health‐related quality of life in patients with chronic wounds, the Wound‐QoL questionnaire has been developed. Two different versions exist: the Wound‐QoL‐17 and the Wound‐QoL‐14. For international and cross‐cultural comparisons, it is necessary to demonstrate psychometric properties in an international study. Therefore, the aim of t...

The benefit of lower limb compression therapy is not limited to chronic venous insufficiency or/and lymphoedema. Thanks to its anti-edema and anti-inflammatory effects, compression therapy is considered a beneficial adjuvant therapy to treat atypical wounds, inflammatory dermatoses, cellulitis, and traumatic wounds in the absence of contraindicatio...

The Wound‐QoL assesses the impact of chronic wounds on patients' health‐related quality of life (HRQoL). A 17‐item and a shortened 14‐item version are available. The Wound‐QoL‐17 has been validated for multiple languages. For the Wound‐QoL‐14, psychometric properties beyond internal consistency were lacking. We aimed to validate both Wound‐QoL vers...

Case report: A 79-year-old woman presented with a large painful ulcer on the lateral aspect of her left leg over a 6-month period and was diagnosed of ulcerated atrophie blanche. On an outpatient basis punch grafting was performed and 3 weeks after, complete epithelization was achieved. Discussion: Ulcerated atrophie blanche is a misdiagnosed disor...

Chronic wounds can severely limit patient's social life. This cross-sectional study investigated quantitatively social support of patients with chronic wounds, its association with health-related quality of life as well as qualitatively changes in social participation of these patients. Overall, 263 patients from seven countries participated. The m...

Objective Martorell hypertensive ischaemic ulcers are often misdiagnosed and can be a clinical and therapeutic challenge. Controversy exists regarding both their underlying triggers and the type of treatment that should be carried out. This study was designed to compare the effectiveness of punch grafting and conventional therapy in pain reduction....

Objective Venous leg ulcers (VLUs) are considered the most frequent category of hard-to-heal limb ulcers. Although evidence-based care of VLUs suggests that compression therapy plays a pivotal role in the standard of care, patient adherence is considered low, with at least 33% non-compliance, either due to perceived problems from clinicians regardi...

Objectif La greffe en pastille est une technique largement utilisée dans notre pratique quotidienne. Elle peut accélérer l’épithélialisation des ulcères de jambe veineux (UJ). Compte tenu des résultats cliniques très positifs observés lorsque nous traitions les UJ avec des pansements à base de TLC- NOSF (UrgoStart) associés à un système de compress...

Objective To document the efficacy of a combined therapeutic strategy in achieving rapid wound healing in patients with long-standing ulcers. Materials and Methods Outpatients with hard-to-heal venous leg ulcers were included in an interventional, prospective, single-arm, mono-centre study and treated with autologous punch grafting, TLC-NOSF dress...

Antecedentes y objetivos El Wound-QoL es un cuestionario validado para medir la calidad de vida en pacientes con heridas crónicas, que fue desarrollado originalmente para su uso en alemán. El objetivo de este estudio fue traducir el cuestionario Wound-QoL para su uso en la práctica clínica y estudios de investigación en España, así como validar es...

Objectif La greffe en pastille est une technique largement utilisée dans notre pratique quotidienne. Elle peut accélérer l’épithélialisation des ulcères de jambe veineux (UJ). Compte tenu des résultats cliniques très positifs observés lorsque nous traitions les UJ avec des pansements à base de TLC- NOSF (UrgoStart) associés à un système de compress...

Background and aims The Wound-QoL is a validated and feasible questionnaire for measuring disease-specific health-related quality of life in chronic wounds, originally developed for use in German. The objective of this study was to translate the Wound-QoL for use in clinical care and in clinical trials in Spain and to validate this version. Materi...

Compression therapy is the basis for treating the cause of venous ulcers and preventing recurrence. Various systems are currently available for applying compression, and adapting them to patients’ needs can improve adherence to treatment. Understanding the principles that underlie compression therapy is essential for success. Although this paper fo...

Introduction: Posttraumatic ulcers secondary to age-related arteriolosclerosis may be included in the clinic-histopathological spectrum of the Martorell hypertensive ischemic ulcer. Histologically, they both present occlusive subcutaneous arteriolosclerosis. Considering these similarities, they could benefit from the same treatment. Case report:...

Resumen La compresión terapéutica es el pilar fundamental del tratamiento etiológico y de la prevención de recidivas de la úlcera venosa. En la actualidad disponemos de diferentes sistemas y estrategias para adaptar la terapia compresiva a las necesidades de cada paciente y aumentar su adherencia al tratamiento. Es fundamental el conocimiento de lo...

Punch grafting is a traditional technique used to promote epithelialization of hard-to-heal wounds. The main purpose of this observational study was to conduct a cost-utility analysis (CUA) and a cost-effectiveness analysis (CEA) comparing punch grafting (n = 46) with usual care (n = 34) for the treatment of chronic wounds in an outpatient speciali...

Introduction This study was intended to assess the efficacy and safety of a rosehip seed oil (RHO) extract in the prevention and treatment of skin lesions in the hands of patients with type 1 diabetes mellitus (T1DM) caused by finger prick blood glucose monitoring. Patients and method A prospective, randomized, controlled, open-label, rater-blinde...

Objective Punch-grafting is a traditional technique to enhance wound healing, which has been associated with significant pain reduction. There are few studies measuring pain reduction after punch grafting, our study was designed to measure this outcome. Method Patients with hard-to-heal wounds treated with punch grafting were included in a single...

Objectif La greffe en pastille est une technique largement utilisée dans notre pratique quotidienne. Elle peut accélérer l’épithélialisation des ulcères de jambe veineux (UJ). Compte tenu des résultats cliniques très positifs observés lorsque nous traitions les UJ avec des pansements à base de TLC- NOSF (UrgoStart) associés à un système de compress...

Palmoplantar pustulosis is a chronic inflammatory disease which characterized by a eruption of sterile pustules on the palms and soles. Apremilast is an oral phosphodiesterase‐4 inhibitor which is approved for the treatment of chronic plaque psoriasis and psoriatic arthritis. However, no clinical trial has been performed to confirm the efficacy of...

El objetivo de este estudio fue analizar la seguridad y tolerancia de un calcetín protector cutáneo confeccionado con tecnología Regenactiv® en pacientes con dermatoporosis y/o cambios cutáneos por insuficiencia venosa crónica.Se realizó un estudio prospectivo en la consulta de heridas del Centro de Especialidades Periféricas Vicente Soldevilla ent...

Resumen Introducción Evaluar la seguridad y eficacia de un extracto de aceite de rosa mosqueta en la prevención y tratamiento de las lesiones cutáneas en las manos de los pacientes con diabetes mellitus tipo 1 (DMT1) secundarias a las punciones digitales para el control glucémico. Pacientes y métodos Estudio prospectivo, aleatorizado, controlado,...

The lymphatic system is a network of small vessels draining clear fluid (lymph) from all bodily tissues. Many different disorders, including birth defect, infection and malignancy (cancer), can cause blockage of the system, resulting in chronic swelling, usually affecting arms or legs. This “lymphoedema” causes considerable discomfort and affects m...

淋巴系统是一个由小血管组成的网络,负责从所有身体组织中吸取干净的液体(淋巴液)。许多不同的疾病,包括出生缺陷、感染和恶性肿瘤(癌症),会导致系统堵塞,导致慢性肿胀,通常影响胳膊或腿。这种“淋巴水肿”会引起相当大的不适,并影响患者生活的许多方面。健康相关的生活质量 QOL 是医疗保健领域中的一个重要衡量指标,但迄今为止,对淋巴水肿患者唯一的生活质量衡量标准是弗莱堡淋巴水肿生活质量评估 FLQA‐L,它是一个可靠的衡量标准,但对临床实践常规使用来说太过详细,因为它有 92 个问题。这项来自德国的研究旨在创造一个更加用户友好的版本。首先,他们重新分析了最初的 FLQA‐L 数据,并确定了 33 个看起来最有信息价值的问题,涵盖 5 个领域:身体缺陷、日常生活、社交生活、心理健康和治疗。这个较短的版...

Objective:: Wound assessment is an essential part of wound management and has traditionally focused on the wound bed. The Triangle of Wound Assessment (Triangle) is a new assessment tool that includes a holistic evaluation of the patient with a wound. The aim of this pilot study was to describe the use of the Triangle in our clinical practice in S...

Background Infantile hemangiomas with minimal or arrested growth are vascular tumors with a proliferative component involving < 25% of their total surface area. They are commonly described as localized lesions and are mainly located on the lower body. Little has been described about segmental forms on the face and their associations with PHACE synd...

Background Chronic lymphoedema (CLE) is a burdensome disease of multiple causes leading to significant reductions in health‐related quality of life (HRQoL). A specific method to assess HRQoL is the Freiburg Life Quality Assessment for lymphedema (FLQA‐L), which consists of 92 items. Objectives To develop and validate a short form of the FLQA‐L wit...

Background: Pain management at wound dressing-related procedures can be a challenge, despite the use of opioids and other analgesics, specially in patients with Martorell's ulcer. In the recent years, topical sevoflurane has been used as a compassionate use drug for pain control during wound dressing changes of leg ulcers (1,2). Case reports: We p...

Martorell hypertensive ischemic ulcer can be a real clinical and therapeutic challenge. Controversy exists regarding both the underlying triggers of the disease and the type of treatment that should be established. Early skin grafting has been suggested as an effective treatment to enhance pain reduction and wound healing in these patients. The aut...

Las heridas crónicas disminuyen la calidad de vida de los pacientes que las padecen, incidiendo significativamente en su estado de salud y agravando su pronóstico general. La elevada incidencia y prevalencia de las úlceras en pierna, así como su alta cronicidad y recidiva, suponen un impacto psico-socio-sanitario elevado, con un alto gasto sanitari...

Chronic wounds have a major socio-economic impact due to their frequency, chronicity and societal costs. Patients experience substantial quality of life (QoL) impairments. The use of questionnaires for a continuous assessment of quality of life and resulting interventions to improve the situation of the individual are an important cornerstone of a...

Case report: The authors present a case of a vulvar pressure ulcer secondary to the use of a perineal post to provide countertraction during surgical repair of a hip fracture. Diagnosis was made after excluding other possible causes with anatomopathological and microbiological analysis. Wound care was based on relieving local pressure. Conclusion...

Resumen Introducción El acné juvenil es una condición muy prevalente en la población adolescente. A pesar de su alta prevalencia, es escaso el conocimiento que tienen los adolescentes de esta dermatosis. Entre las fuentes de información más utilizadas por los adolescentes destacan los amigos y los familiares. Supone una importante repercusión en l...

Cutaneous T-cell lymphomas (CTCL) represent 70-80% of primary cutaneous lymphomas (PCL) 1,2,3 Epidemiological data on PCL are sparse due to their rarity. Most series that have been reported belong to large databases of USA, some countries in Europe and Asia. These studies reveal that both incidence and frequency of each type of lymphoma differ depe...

Dermatitis artefacta may represent a real challenge for the clinician. As the patient does not admit self-inflicting the lesions, misdiagnosis with other diseases, such as pyoderma gangrenosum, is common. Consequently, these patients normally go through unnecessary tests and receive potentially harmful treatments as clinicians determine their diagn...

Case 1 was a 10-year-old child who presented with multiple hyperpigmented brightening papules and plaques on the limbs and trunk (Fig 1). Case 2 was a 5-year-old child with a well delimited hypopigmented plaque on the lower eyelid. DERMOSCOPY APPEARANCE The dermoscopic examination of case 1 revealed a whitish plaque with comedo-like openings in the...

Pili multigemini is a rare disorder where more than one hair exists in a single hair follicle. Papillar tips that divide into several tips will produce several hair shafts, so that characteristically do not fuse again. This disorder is relatively frequent on the beard of adult men and on the scalp of children. However, extensive areas of pili multi...

Neuropathic ulcers in leprosy represent a therapeutic challenge for clinicians. Chronic ulcers affect patient health, emotional state and quality of life, causing considerable morbidity and mortality in addition to contributing to significant health care costs. The pathogenesis is mainly related to the abnormally increased pressure in areas such as...

In recent years, the use of platelet-rich plasma has increased notably in a range of diseases and settings. Uses of these products now go beyond skin rejuvenation therapy in patients with facial ageing. Good outcomes for other dermatological indications such as skin ulcers and, more recently, alopecia have been reported in case series and controlle...

In recent years, the use of platelet-rich plasma has increased notably in a range of diseases and settings. Uses of these products now go beyond skin rejuvenation therapy in patients with facial ageing. Good outcomes for other dermatological indications such as skin ulcers and, more recently, alopecia have been reported in case series and controlle...

An otherwise healthy 83-year-old woman presented with a several-month history of an asymptomatic vulvar lesion. The physical examination revealed a solitary, slightly indurated, 5-mm whitish papule on the anterior aspect of the left labia majora of the vulva (Fig 1). The remainder of the cutaneous examination was unremarkable. She had no relevant p...