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Special Report

Dilemmas about the decubitus ulcer: skin-fold ulcerations and apposition lesions

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Pages 287-291 | Published online: 10 Jan 2014
 

Abstract

Skin lesions are often difficult to diagnose, and even decubitus ulcers (bedsores) can have different manifestations. Two such variations are ‘skin-fold’ ulcerations and those caused by the prolonged apposition of skin surfaces. When pressure is applied to apposed or folded skin, surface ulcers can occur. There is evidence that such lesions are particularly found on debilitated elderly subjects with easily tented skin, as well as on similar patients with chronic contractures. A careful consideration of skin-fold causation helps in preventing ulceration problems, especially where pelvic skin is involved. The effective treatment and/or management of underlying factors, such as pelvic deformities, contractures, dehydration and incontinence, should also help prevent both skin-fold ulcers and apposition lesions.

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

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