Kožní léze komplikující Parkinsonovu nemoc

Title in English The Skin Lensions as a Complications of Parkinson's Disease


Year of publication 2017
Type Article in Periodical
Magazine / Source Česká a slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Doi http://dx.doi.org/10.14735/amcsnn2017S50
Keywords Parkinson's disease; skin lesions; pressure lesions; granulomatosis lesions; complications
Description Aim: We aimed to describe the incidence of pressure lesions (L89) and granulomatous lesion of the skin and subcutaneous tissues (L92) in the selected group of patients with Parkinson's disease (PD) (G20). Material and methods: We performed a retrospective analysis of data of Parkinson's disease patients from hospital information system from the year 2016. Parkinson's disease patients were followed in an outpatient Movement Disorder Centre of St. Anne's University University Hospital in Brno. Resuits: We found 24 patients (3.1%) with pressure lesions and 16 patients (2.1%) with hypergranulations in postoperative scar in place of PEG insertion out of 776 patients (with 3,158 examinations during a selected period) data points. All patients included in the study had a main diagnosis of PD ranging from early form of the disease to a late stage with motor fluctuations and symptoms present (70%). In 94% of patients who suffered from pressure lesions we found partial or complete immobility. Conclusion: The incidence of pressure lesions was quite low, which can be cause either by low incidence or by methodological issues on a local level, or by a loss of data from institutional follow up care or home care. We have also found certain level of complications in patients treated by intradudodenal application of L DOPA, i.e. granulations in the skin opening at the point of PEG tube insertion.

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