Chronic Venous Leg Ulcers Effectively Treated With Platelet-Rich Plasma
Besides improvement in ulcer sizse, all patients had subjective improvement in pain associated with the ulcer.
HealthDay News — For patients with chronic venous leg ulcers, autologous platelet-rich plasma (PRP) is safe and effective, with highly significant improvement in ulcer size compared to conventional treatment, according to a study published online in the Journal of Cosmetic Dermatology.1
Hoda A Moneib, MD, from Ain Shams University in Cairo, and colleagues compared the clinical efficacy of PRP versus conventional treatment in the management of chronic venous leg ulcers. Forty patients were included in the study: 20 were treated with autologous PRP weekly for 6 weeks and 20 received 6 weeks of conventional treatment of compression and dressing.
The researchers observed a highly significant improvement in ulcer size after PRP therapy compared with conventional therapy (P = .0001). The mean change in the area of the ulcer was 4.92 ± 11.94 and 0.13 ± 0.27 cm, respectively, after PRP and conventional therapy.
The mean percentage improvement in the area of the ulcer was 67.6 ± 36.6 percent and 13.67 ± 28.06 percent, respectively. All patients had subjective improvement in pain associated with the ulcer.
"Platelet-rich plasma is a safe nonsurgical procedure for treating chronic venous leg ulcers," the authors write. "Additional studies with larger sample size and longer follow-up periods are required to confirm or refute our findings."
- Moneib HA, Youssef SS, Aly DG, Rizk MA, Abdelhakeem YI. Autologous platelet-rich plasma versus conventional therapy for the therapy for the treatment of chronic venous leg ulcers: a comparative study [published online August 19, 2017]. J Cosmet Dermatol. doi: 10.1111/jocd.12401