Impaired wound healing as a result of systemic diseases

Sedlarĭk, K; Piatek, St.; Reusche, S.; Lippert, H.

doi:10.12968/jowc.1995.4.3.119

Cited by 3 publications

(1 citation statement)

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“…However, the extent of protein catabolism and malnutrition, and the lack of response to measures to reverse cachexia, such as supported nutrition, would suggest that a direct causal link between anorexia and weight loss in cachexia is too simple a model (5). Those with systemic diseases may also require multiple medications, and both systemic diseases and medications may synergistically cause wound healing problems (6).…”

Section: Introductionmentioning

confidence: 99%

Cachexia – an intrinsic factor in wound healing

2010

International Wound Journal

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Systemic diseases are intrinsic factors that alter and may impair the wound healing process. Cachexia is a manifestation of systemic, often chronic, diseases and is characterised by systemic inflammation, appetite suppression and skeletal muscle wasting. Anorexia in cachectic states is commonly associated with malnutrition. Malnutrition may cause impaired healing. Therefore, it would follow that cachexia could influence wound healing because of reduced food intake. However, the lack of response to measures to reverse cachexia, such as supported nutrition, would suggest that a direct causal link between anorexia and weight loss in cachexia is too simple a model. To date, there is no published literature that examines the role of cachexia in human wound healing specifically. This article aims to demonstrate that cachexia is an intrinsic factor in wound healing. The role of the common mediators in wound healing and in cachexia are compared - specifically inflammation, including the nitric oxide synthase pathway, collagen deposition and reepithelialisation.

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Section: Introductionmentioning

confidence: 99%