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Case Report
Available online 23 December 2021
Treatment of Raynaud phenomenon and ischemic ulcers associated to systemic sclerosis with hyperbaric oxygen
Tratamiento con oxígeno hiperbárico en el fenómeno de Raynaud y las úlceras digitales asociadas a esclerosis sistémicas
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María Ahijón-Lanaa,
Corresponding author
mahilan@mde.es

Corresponding author.
, Elia Baragaño-Ordóñezb, Raúl Veiga-Cabelloa, Carmen de la Cruz-Tapidora, Patricia E. Carreirac
a Servicio de Reumatología, Hospital Universitario Central de la Defensa Gómez Ulla, Madrid, Spain
b Servicio de Medicina Subacuática e Hiperbárica, Hospital Universitario Central de la Defensa Gómez Ulla, Madrid, Spain
c Servicio de Reumatología, Hospital Universitario 12 de Octubre, Madrid, Spain
Received 04 March 2021. Accepted 19 May 2021
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Table 1. Clinical characteristics of the four cases.
Abstract

We describe 4 patients with Raynaud’s phenomenon associated with systemic sclerosis, 3 with ischaemic ulcers, successfully treated with hyperbaric oxygen. This therapy has been useful in the treatment of chronic wounds due to its anti-inflammatory, antimicrobial and angiogenic effects. Hyperbaric oxygen treatment could be a therapeutic option in patients with Raynaud’s phenomenon refractory to conventional treatment.

Keywords:
Systemic sclerosis
Hyperbaric oxygen
Raynaud’s phenomenon
Digital ulcers
Resumen


Presentamos 4 pacientes con fenómeno de Raynaud asociado a esclerosis sistémica, 3 de ellos con úlceras isquémicas, con intolerancia o falta de respuesta a tratamiento convencional, que presentaron mejoría tras tratamiento con oxígeno hiperbárico. Esta terapia ha sido utilizada para el tratamiento de úlceras de diversa etiología debido a su efecto cicatrizante, angiogénico, antiinflamatorio y antimicrobiano. El oxígeno hiperbárico podría constituir una alternativa terapéutica en pacientes con fenómeno de Raynaud o úlceras isquémicas de difícil manejo.

Palabras clave:
Esclerosis sistémica
Oxígeno hiperbárico
Fenómeno de Raynaud
Úlceras digitales

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