Scleroderma, Ulcer
Conditions
Keywords
Ozone oxygen, ulcer healing
Brief summary
Digital ulcers (DUs) in scleroderma result from recurrent Raynaud's phenomenon (RP) and microtrauma with high impact on quality of life, management of DUs is a great challenge for clinicians. Medical use of ozone (triatomic oxygen) was initiated in the 19th century. Ozone has multiple therapeutic effects in wound healing due to the property of releasing nascent oxygen, which has been shown to stimulate antioxidant enzymes.
Detailed description
Digital ulcers (DUs) in scleroderma result from recurrent Raynaud's phenomenon (RP) and microtrauma with high impact on quality of life, management of DUs is a great challenge for clinicians. Medical use of ozone (triatomic oxygen) was initiated in the 19th century. Ozone has multiple therapeutic effects in wound healing due to the property of releasing nascent oxygen, which has been shown to stimulate antioxidant enzymes, we aim to assess the effects of ozone therapy on the healing in Scleroderma DUs and the expressions of vascular endothelial growth factor (VEGF), and endothelin-1 type A receptor (ETAR) and angiotensin II type 1 receptor (AT1R) autoantibodies level in the wounds after treatment.
Interventions
noninvasive oxygen-ozone treatments with 52 ug/mL ozone (total volume: 20-50 mL) in a special bag for 30 min per day for 20 days using the ozone generator device (Human Pro Medic, German)
Sponsors
Study design
Eligibility
Inclusion criteria
* systemic sclerosis patients with DUs fulfilling ACR/EULAR criteria for diagnosis 2013
Exclusion criteria
* calcinosis ulcer traumatic ulcer vasculitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| scleroderma ulcer healing | 4 months | Ulcer size measurement in cm |
| Pain | 4 months | Using 10 cm scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ulcer biopsy | 4 months | Biopsy from the ulcer edge |