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Rheumatology • Continue the Conversation
How do you incorporate hyperbaric oxygen therapy into the care of patients with wounds related to ischemic ulcerations?
What additional workup or assessment is necessary prior to recommending this therapy?
This question is part of our collaboration with ACR Convergence 2025 to Continue the Conversation from the meeting. This question was inspired by the session "Challenges & Solutions for Management of Raynaud’s Phenomenon" by Dr. @Tracy M. Frech and Dr. @John Pauling. If you did not attend the meeting, information about Convergence On Demand can be found here.
Answer from: at Academic Institution
Hyperbaric oxygen therapy (HBOT) is intended to improve local tissue hypoxia in non-healing ulcers. Evidence for its use remains limited, primarily consisting of case reports and small case series. Most documented cases involve lower-extremity ulcers, often related to macrovascular disease. For digi...
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Answer from: at Academic Institution
I personally have not recommended hyperbaric oxygen treatment for patients with traditional systemic sclerosis-related ischemic ulcerations. I will consider it if patients have a wound that may be of mixed etiology, such as a LE wound in someone with scleroderma (small vessel disease) and PAD or dia...