PMC6240024_01
Leg ulcer with tendon exposure in a patient with type 2 diabetes. Panel A, initially the leg ulcer measured 62 x 51 mm and was characterized by tendon exposure, mild perilesional redness and moderate exudate. Panel B, after surgical toilette and the skin graft, the tendon exposure persisted, but it was still vital. Panels C, D and E, the use of honey dressing (glucose oxidase positive with peroxide activity) started to promote the re-epithelization of the tendon and the healing of the remaining ulcer. The complete healing of the lesion occurred after 3 months of treatment with the honey dressing.
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fig1
The right posterior lower limb ulcer appeared in July 2017, following a domestic trauma, but the patient arrived in our Foot Clinic in November 2017, presenting a lesion of size of 62 x 51 mm with tendon exposure, mild perilesional redness and moderate exudate (Fig. 1, Panel A).