Digitale Ulzerationen bei Sklerodermie – eine interdisziplinäre Herausforderung

Digital ulcers in systemic sclerosis are painful ischemic necrotic lesions of the acra. Optimal treatment consists of conventional wound management and medication: iloprost infusions promote primary healing of the ulcers, while the dual endothelin receptor antagonist bosentan is used for secondary pro― phylaxis of new ulcers. The described case illustrates the essential interdisci― plinary collaboration for optimal management of these patients.