Abstract | BACKGROUND: OBJECTIVE: It would be desirable for prognostic reasons to develop an objective method for measuring skin hardness in lipodermatosclerosis. METHODS: The degree of skin induration at the midpoint between the upper and lower margin of lipodermatosclerosis in 30 sequential nonselected patients with lipodermatosclerosis was assessed by a blinded observer's clinical score and by quadruplicate determinations with a hand-held type O durometer. Skin induration on the medial aspect of the leg was similarly measured in five normal volunteers. Transcutaneous oxygen pressure was measured at the same sites. RESULTS: A direct linear relation (r = 0.962) was found between skin severity scores and durometer readings (p < 0.01). A clinical skin score of 2 reflected a higher durometer reading compared with a skin score of 1 (p = 0.0016) and, similarly, higher durometer readings were found in skin score of 3 compared with score 2 skin (p = 0.0093). Transcutaneous oxygen pressure was uniformly reduced in lipodermatosclerosis (p < 0.02). CONCLUSION:
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Authors | M Romanelli, V Falanga |
Journal | Journal of the American Academy of Dermatology
(J Am Acad Dermatol)
Vol. 32
Issue 2 Pt 1
Pg. 188-91
(Feb 1995)
ISSN: 0190-9622 [Print] United States |
PMID | 7829701
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
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Topics |
- Blood Gas Monitoring, Transcutaneous
- Chronic Disease
- Dermatology
(instrumentation)
- Female
- Hardness
- Humans
- Leg Dermatoses
(blood, pathology)
- Male
- Middle Aged
- Prognosis
- Prospective Studies
- Scleroderma, Localized
(blood, pathology)
- Scleroderma, Systemic
(pathology)
- Severity of Illness Index
- Single-Blind Method
- Skin
(pathology)
- Varicose Ulcer
(pathology)
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