Effectiveness of an Innovative Pulsed Electromagnetic Fields Stimulation in Healing of Untreatable Skin Ulcers in the Frail Elderly: Two Case Reports

Introduction. Recalcitrant skin ulcers are a major burden in elderly patients. Specifically, chronic wounds result in significant morbidity and mortality and have a profound economic impact. Pulsed electromagnetic fields (PEMFs) have proved to be a promising therapy for wound healing. Here we descri...

Full description

Saved in:
Bibliographic Details
Main Authors: Fabio Guerriero, Emanuele Botarelli, Gianni Mele, Lorenzo Polo, Daniele Zoncu, Paolo Renati, Carmelo Sgarlata, Marco Rollone, Giovannoi Ricevuti, Niccolò Maurizi, Matthew Francis, Mariangela Rondanelli, Simone Perna, Davide Guido, Piero Mannu
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2015/576580
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832563345279942656
author Fabio Guerriero
Emanuele Botarelli
Gianni Mele
Lorenzo Polo
Daniele Zoncu
Paolo Renati
Carmelo Sgarlata
Marco Rollone
Giovannoi Ricevuti
Niccolò Maurizi
Matthew Francis
Mariangela Rondanelli
Simone Perna
Davide Guido
Piero Mannu
author_facet Fabio Guerriero
Emanuele Botarelli
Gianni Mele
Lorenzo Polo
Daniele Zoncu
Paolo Renati
Carmelo Sgarlata
Marco Rollone
Giovannoi Ricevuti
Niccolò Maurizi
Matthew Francis
Mariangela Rondanelli
Simone Perna
Davide Guido
Piero Mannu
author_sort Fabio Guerriero
collection DOAJ
description Introduction. Recalcitrant skin ulcers are a major burden in elderly patients. Specifically, chronic wounds result in significant morbidity and mortality and have a profound economic impact. Pulsed electromagnetic fields (PEMFs) have proved to be a promising therapy for wound healing. Here we describe the first reported case of an innovative PEMF therapy, Emysimmetric Bilateral Stimulation (EBS), used to successfully treat refractory skin ulcers in two elderly and fragile patients. Case Presentation. Two elderly patients developed multiple chronic skin ulcerations. Despite appropriate treatment, the ulcers showed little improvement and the risk of amputation was high. Both patients underwent daily EBS therapy and standard dressing. After few weeks of treatment, major improvements were observed and all ulcers had healed. Conclusion. In patients with refractory ulceration, EBS therapy may be of real benefit in terms of faster healing. This case supports the supportive role for PEMFs in the treatment of skin ulceration in diabetes and is suggestive of a potential benefit of EBS in this clinical condition.
format Article
id doaj-art-262c2118688b4d31b2b9d79880376ba2
institution Kabale University
issn 2090-6463
2090-6471
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Dermatological Medicine
spelling doaj-art-262c2118688b4d31b2b9d79880376ba22025-02-03T01:20:23ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712015-01-01201510.1155/2015/576580576580Effectiveness of an Innovative Pulsed Electromagnetic Fields Stimulation in Healing of Untreatable Skin Ulcers in the Frail Elderly: Two Case ReportsFabio Guerriero0Emanuele Botarelli1Gianni Mele2Lorenzo Polo3Daniele Zoncu4Paolo Renati5Carmelo Sgarlata6Marco Rollone7Giovannoi Ricevuti8Niccolò Maurizi9Matthew Francis10Mariangela Rondanelli11Simone Perna12Davide Guido13Piero Mannu14Department of Internal Medicine and Medical Therapy, Section of Geriatrics, University of Pavia, 27100 Pavia, ItalyAmbra Elektron, Associazione Italiana di Biofisica per lo Studio dei Campi Elettromagnetici in Medicina, 00186 Rome, ItalyAmbra Elektron, Associazione Italiana di Biofisica per lo Studio dei Campi Elettromagnetici in Medicina, 00186 Rome, ItalyAmbra Elektron, Associazione Italiana di Biofisica per lo Studio dei Campi Elettromagnetici in Medicina, 00186 Rome, ItalyAmbra Elektron, Associazione Italiana di Biofisica per lo Studio dei Campi Elettromagnetici in Medicina, 00186 Rome, ItalyAmbra Elektron, Associazione Italiana di Biofisica per lo Studio dei Campi Elettromagnetici in Medicina, 00186 Rome, ItalyDepartment of Internal Medicine and Medical Therapy, Section of Geriatrics, University of Pavia, 27100 Pavia, ItalyAgency for Elderly People Services, Hospital Santa Margherita, 27100 Pavia, ItalyDepartment of Internal Medicine and Medical Therapy, Section of Geriatrics, University of Pavia, 27100 Pavia, ItalyDepartment of Internal Medicine and Medical Therapy, Section of Geriatrics, University of Pavia, 27100 Pavia, ItalyDepartment of Internal Medicine and Medical Therapy, Section of Geriatrics, University of Pavia, 27100 Pavia, ItalyDepartment of Public Health, Experimental and Forensic Medicine, Section of Human Nutrition, Endocrinology and Nutrition Unit, University of Pavia, 27100 Pavia, ItalyDepartment of Public Health, Experimental and Forensic Medicine, Section of Human Nutrition, Endocrinology and Nutrition Unit, University of Pavia, 27100 Pavia, ItalyAgency for Elderly People Services, Hospital Santa Margherita, 27100 Pavia, ItalyAmbra Elektron, Associazione Italiana di Biofisica per lo Studio dei Campi Elettromagnetici in Medicina, 00186 Rome, ItalyIntroduction. Recalcitrant skin ulcers are a major burden in elderly patients. Specifically, chronic wounds result in significant morbidity and mortality and have a profound economic impact. Pulsed electromagnetic fields (PEMFs) have proved to be a promising therapy for wound healing. Here we describe the first reported case of an innovative PEMF therapy, Emysimmetric Bilateral Stimulation (EBS), used to successfully treat refractory skin ulcers in two elderly and fragile patients. Case Presentation. Two elderly patients developed multiple chronic skin ulcerations. Despite appropriate treatment, the ulcers showed little improvement and the risk of amputation was high. Both patients underwent daily EBS therapy and standard dressing. After few weeks of treatment, major improvements were observed and all ulcers had healed. Conclusion. In patients with refractory ulceration, EBS therapy may be of real benefit in terms of faster healing. This case supports the supportive role for PEMFs in the treatment of skin ulceration in diabetes and is suggestive of a potential benefit of EBS in this clinical condition.http://dx.doi.org/10.1155/2015/576580
spellingShingle Fabio Guerriero
Emanuele Botarelli
Gianni Mele
Lorenzo Polo
Daniele Zoncu
Paolo Renati
Carmelo Sgarlata
Marco Rollone
Giovannoi Ricevuti
Niccolò Maurizi
Matthew Francis
Mariangela Rondanelli
Simone Perna
Davide Guido
Piero Mannu
Effectiveness of an Innovative Pulsed Electromagnetic Fields Stimulation in Healing of Untreatable Skin Ulcers in the Frail Elderly: Two Case Reports
Case Reports in Dermatological Medicine
title Effectiveness of an Innovative Pulsed Electromagnetic Fields Stimulation in Healing of Untreatable Skin Ulcers in the Frail Elderly: Two Case Reports
title_full Effectiveness of an Innovative Pulsed Electromagnetic Fields Stimulation in Healing of Untreatable Skin Ulcers in the Frail Elderly: Two Case Reports
title_fullStr Effectiveness of an Innovative Pulsed Electromagnetic Fields Stimulation in Healing of Untreatable Skin Ulcers in the Frail Elderly: Two Case Reports
title_full_unstemmed Effectiveness of an Innovative Pulsed Electromagnetic Fields Stimulation in Healing of Untreatable Skin Ulcers in the Frail Elderly: Two Case Reports
title_short Effectiveness of an Innovative Pulsed Electromagnetic Fields Stimulation in Healing of Untreatable Skin Ulcers in the Frail Elderly: Two Case Reports
title_sort effectiveness of an innovative pulsed electromagnetic fields stimulation in healing of untreatable skin ulcers in the frail elderly two case reports
url http://dx.doi.org/10.1155/2015/576580
work_keys_str_mv AT fabioguerriero effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT emanuelebotarelli effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT giannimele effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT lorenzopolo effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT danielezoncu effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT paolorenati effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT carmelosgarlata effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT marcorollone effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT giovannoiricevuti effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT niccolomaurizi effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT matthewfrancis effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT mariangelarondanelli effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT simoneperna effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT davideguido effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports
AT pieromannu effectivenessofaninnovativepulsedelectromagneticfieldsstimulationinhealingofuntreatableskinulcersinthefrailelderlytwocasereports