SciELO - Scientific Electronic Library Online

vol.126 issue4Intestinal metaplasia in gallbladders: prevalence studySulfasalazine-induced DRESS syndrome (Drug Rash with Eosinophilia and Systemic Symptoms) author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Sao Paulo Medical Journal

Print version ISSN 1516-3180On-line version ISSN 1806-9460


TEIVE, Hélio Afonso Ghizoni; CAMPOS, Ricardo William Genaro Rodrigues de; MUNHOZ, Renato Puppi  and  WERNECK, Lineu César. Pressure ulcers and Charcot's definitions: report on two cases. Sao Paulo Med. J. [online]. 2008, vol.126, n.4, pp.223-224. ISSN 1516-3180.

CONTEXT AND OBJECTIVE: Pressure ulcers are lesions caused by inadequate blood flow and tissue malnourishment secondary to prolonged pressure on skin, soft connective tissues, muscle and/or bones. The authors report two distinct clinical situations of severely compromised neurological patients who shared several predisposing factors for pressure ulcers, but with opposite outcomes regarding the development of pressure ulcers. CASE REPORTS: The first case was a young patient in a persistent vegetative state who developed pressure ulcers that resulted in secondary sepsis and death. The second case was a patient with a diagnosis of amyotrophic lateral sclerosis who, in spite of being bedridden for several months with severe immobility, never developed pressure ulcers. These intriguing contrary clinical situations had already been defined by Charcot in the nineteenth century, with his creation of the expression "decubitus ominosus". He indicated that patients with amyotrophic lateral sclerosis usually did not develop this form of complication, as was illustrated by the cases presented here.

Keywords : Pressure ulcer; Outcome and process assessment [Health Care]; Persistent vegetative state; Amyotrophic lateral sclerosis.

        · abstract in Portuguese     · text in English     · English ( pdf epdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License