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Clin Pain. 2018 Dec;17(2):115-118. English. Case Report.
Park SW , Bae JS , Jung KJ , Kim JH .
Department of Physical Medicine and Rehabilitation, Eulji University Hospital and Eulji University, Daejeon, Korea.
Department of Physical Medicine and Rehabilitation, School of Medicine Catholic Kwandong University International St. Mary's Hospital, Incheon, Korea. shinwhopark@eulji.ac.kr
Abstract

The Stellate ganglion block (SGB) could be used to treat sympathetic dependent circulatory insufficiency. We report a 36-year-old female patient with burn-induced refractory ischemic ulcer in distal phalanges. The patient admitted in department of plastic surgery for second degree burn wound in the right second through fifth fingertips. Continuous dressing treatment was conducted. However digital burn wounds were not healed but seems to be refractory. The upper extremity angiography revealed decreased perfusion and the fingertip wounds were diagnosed as ischemic ulcer. Despite of botulinum toxin injection into the perineural tissue and aspirin prescription, burn wounds showed ulcerative necrotic change. The SGBs were performed twice a week for 3 weeks to restore vasoconstriction of the upper extremity arteries. The follow-up angiography showed significant improvement of fingertip perfusion. Consequently, wounds were completely healed. In conclusion, SGB could be a rational option to overcome burn-induced digital ischemia refractory to other medical therapy.

Copyright © 2019. Korean Association of Medical Journal Editors.