Autologous skin grafting in the treatment of severe scleroderma cutaneous ulcers: a case report

The result of treatment of scleroderma cutaneous ulcers is often discouraging; moreover, this complication may severely reduce the quality of life of SSc patients. The frequent concomitance of arterial and venous deficiency in the pathogenesis of leg ulcers in SSc, needing a combined (surgical and grafting) therapeutic approach, should also be taken into account. The complete, rapid recovery of malleolar ulcers observed with autograft system using Hyalograft 3D and Laserskinests suggests that this novel technology, which has been employed successfully in skin lesions of different aetiology, can also be used in refractory scleroderma skin ulcers.