[2 Cases of periarteritis nodosa with predominating superficial phlebitic manifestations].
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Biomedical subjects
Publications and source records attributed to C Bourde.
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The author analyses the difficulties encountered in practical medicine when, attempting to obtain the cicatrization of leg ulcers. He underlines the necessity, in order to evaluate the action of a drug in a controlled experiment, to impose and to impose upon oneself, certain restrictions so as to be able to observe closely their development and to compare cases, some being tested with an active drug and others with a placebo. Telethermography would seem to be non-surgical instrumental method of great benefit for following the development of the ulcer and assessing the effectiveness of a treatment. Whilst aware of both ethical and economic problems, the author proposes an analytical formula defining the indications of clinical and telethermographical seriousness and a classification of leg ulcers in the light of such an analysis.
Post-phlebitic syndromes, the result of late diagnosis at the acute stage and/or inappropriate treatment, are disorders which are still very widespread, chronic, and more or less incapacitating. For fifty years, there has been no new really and lastingly active medication to improve the local condition and check the aggravation. However, heparin is still the least ineffectual form of medication. Applied in series of treatment of 10/15 days, preferably by route IV, it alone is able to produce consistently fair results. Taken on average with the application precautions, the risks with standard doses are practically nil.
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