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Sunday, April 19, 2015

 2015 Apr 9:1-5.

Efficacy of intralesional recombinant human epidermal growth factor in chronic diabetic foot ulcers.

Abstract

OBJECTIVE:

The aim of this study was to explore the clinical effects of intralesional administration of an epidermal growth factor (EGF) up to complete wound closure.

METHODS:

Seventeen diabetic patients with full-thickness lower extremity ulcers of more than 4 weeks of evolution were enrolled in the study. Mean ulcer size was 15.5 +/- 7.5 cm2. Intralesional injections of 75 µg of Heberprot-P three times per week for 5-8 weeks were given up to complete wound healing.

RESULTS:

Full granulation response was achieved in all patients in 32.4 +/- 6.6 days. Complete wound closure was obtained in 16 (94.1%) cases in 53.1 +/- 4.7 days. The most frequent adverse events were burning sensation, tremors, chills and pain at the site of administration. After 1-year follow-up, only one patient relapsed.

CONCLUSIONS:

Intralesional EGF administration up to complete closure can be safe, effective and suitable to improve healing of chronic diabetic foot ulcer (DFU).

KEYWORDS:

Amputation and epidermal growth factor; diabetic foot ulcers; wound healing

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