Skin problems in lower limb amputees: an overview by case reports

The stump in lower limb amputees is prone to skin problems because it is exposed to several unnatural conditions (shear and stress forces and increased humidity) when a prosthesis is used. This study reviews the literature on case reports of lower limb amputees with skin problems on the stump. In total, 56 reports comprising 76 cases were identified in the literature. The main disorders are acroangiodermatitis, allergic contact dermatitis, bullous diseases, epidermal hyperplasia, hyperhidrosis, infections, malignancies and ulcerations.

[1]  M. Itsuno,et al.  [Malignant fibrous histiocytoma]. , 1994, Nihon rinsho. Japanese journal of clinical medicine.

[2]  M. Caceres,et al.  Carcinoma Arising in an Amputation Stump , 2001, The American surgeon.

[3]  C. Requena,et al.  Epoxy dermatitis of an amputation stump , 1986, Contact dermatitis.

[4]  A. Fahal,et al.  Internal fistula formation: an unusual complication of mycetoma. , 1996, Transactions of the Royal Society of Tropical Medicine and Hygiene.

[5]  Â. Azenha,et al.  Allergic contact dermatitis on an amputation stump , 1992, Contact dermatitis.

[6]  Levy Sw Amputees: skin problems and prostheses. , 1995 .

[7]  B. L. Correcher,et al.  Dermatitis from shoes and an amputation prosthesis due to mercapto‐benzthiazole and paratertiary butyl formaldehyde resin , 1981, Contact dermatitis.

[8]  J. Peyri,et al.  Kaposi‐like acroangiodermatitis induced by a suction‐socket prosthesis , 1994, The British journal of dermatology.

[9]  Bendl Bj Painful pigmented prosthesis pressure papules. , 1976 .

[10]  M. Heim,et al.  Psoriasis and the effect of prosthetic fitting , 2003, Prosthetics and orthotics international.

[11]  K. M. Chan,et al.  Use of lower limb prosthesis among elderly amputees. , 1990, Annals of the Academy of Medicine, Singapore.

[12]  Terry J. Supan,et al.  The Incidence of Dermatological Problems in the Silicone Suspension Sleeve User , 1997 .

[13]  E. Bröcker,et al.  Kaposi‐like acroangiodermatitis in an above‐knee amputation stump , 1989, The British journal of dermatology.

[14]  M. Picardo,et al.  Kaposi‐like acro‐angiodermatitis of amputa ion stump caused by suction socket prosthesis , 1992, Contact dermatitis.

[15]  T. Inoshita,et al.  Malignant fibrous histiocytoma arising in previous surgical sites.Report of two cases , 1984, Cancer.

[16]  S. Freeman Contact dermatitis of a limb stump caused by p‐tertiary butyl catechol in the artificial limb , 1986, Contact dermatitis.

[17]  W. Lambert,et al.  Verrucous carcinoma of a leg amputation stump. , 1991, Dermatologica.

[18]  R. Scott Internal Fistula , 1965, The British journal of clinical practice.

[19]  F. Young Post-traumatic epidermoid cysts. , 1951, Lancet.

[20]  J. Vilaplana,et al.  Paratertiary butylphenol formaldehyde resin in prostheses , 1985, Contact dermatitis.

[21]  A. Hamers,et al.  Acro-angiodermatitis of the foot. , 1965, Archives of dermatology.

[22]  D. Sarma,et al.  Carcinoma arising in burn scar , 1985, Journal of surgical oncology.

[23]  N. Balato,et al.  Allergic contact dermatitis from orthopaedic devices , 1995, Contact dermatitis.

[24]  J. Fousssereau,et al.  Contact dermatitis from methyl methacrylate in an above‐knee prosthesis , 1989, Contact dermatitis.

[25]  西尾賢昭 Trichophyton rubrum , 2020, Definitions.

[26]  C. Harrington,et al.  Stump acne: a new variant of acne mechanica and a cause of immobility , 2001, The British journal of dermatology.

[27]  E. Grosshans,et al.  Verruciform xanthoma or xanthomatous transformation of inflammatory epidermal nevus? , 1981, Journal of cutaneous pathology.

[28]  A. Boulton,et al.  Stump pemphigoid: a new complication of the amputee. , 1983, British medical journal.

[29]  Y. Umezawa,et al.  A Case of Pyoderma Gangrenosum on the Stump of an Amputated Right Leg , 2000, The Journal of dermatology.

[30]  U. Wollina,et al.  Botulinum toxin A for focal hyperhidrosis in leg amputees: a case report. , 2000, Acta dermato-venereologica.

[31]  M. Corazza,et al.  Acroangiodermatitis of amputation stump. , 2003, European journal of dermatology : EJD.

[32]  R. T. Brodell,et al.  Stump pemphigoid. , 1996, Cutis.

[33]  Güçlüer,et al.  Kaposi‐like acroangiodermatitis in an amputee , 1999, The British journal of dermatology.

[34]  J. Cooper,et al.  Trichophyton rubrum perifolliculitis on amputation stump. , 1966 .

[35]  Ö. Kristinsson,et al.  The ICEROSS concept: A discussion of a philosophy , 1993, Prosthetics and orthotics international.

[36]  M. Tsuneyoshi,et al.  Malignant Fibrous Histiocytoma , 1980, Virchows Archiv A.

[37]  Use of lower limb prosthesis among elderly amputees. , 1990 .

[38]  S W Levy Amputees: skin problems and prostheses. , 1995, Cutis.

[39]  Jan H B Geertzen,et al.  Skin problems in lower limb amputees: A systematic review , 2006, Disability and rehabilitation.

[40]  L. Condé‐Salazar,et al.  Allergic contact dermatitis from a suction socket prosthesis , 1988, Contact dermatitis.

[41]  D. Creamer,et al.  Mechanical and Thermal Injury , 2008 .

[42]  M. Landthaler,et al.  [Prosthesis edge nodule and verrucous hyperplasia in leg amputees]. , 1997, Zeitschrift fur Orthopadie und ihre Grenzgebiete.

[43]  S. Inui,et al.  A case of contact dermatitis due to impurities of cetyl alcohol , 1997, Contact dermatitis.

[45]  J. Callen,et al.  Nonhealing ulcer secondary to factor V Leiden mutation and cryofibrinogenemia. , 2004, Journal of the American Academy of Dermatology.