Case 1
Necrotic Wound

42 years old woman suffering from a post-partum DVT, coagulation deficiency and omozygote MTHFR mutation. Due to a light trauma she has developed a medial left malleolus chronic wound, necrotic and very painful.
Diagnosis
Necrotic and painful vasculitic wound.
Previous Treatment
Povidoiodine gauzes.
Reason for change
Worsening and pain increasing.
Treatment
- Vulnamin Gel
- 7 days
- 3 applications/week
- Chlorexidine moist gauzes as secondary dressing

Treatment
- Vulnamin Gel
- 14 days
- 3 applications/week
- Chlorexidine moist gauzes as secondary dressing

Take Home Message
- Quicker debridement
- Increasing of local oxygenation
- Healthy granulating tissue