Botulinum Toxin Type A for the Treatment of Skin Ulcers: A Review Article

The normal biological wound healing process consists of three precisely and highly programmed phases that require optimal conditions including internal and external factors. Any negative factors that disrupt the sequence or time frame of the healing mechanism can result in a non-healing wound or chr...

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Main Authors: Waranaree Winayanuwattikun, Vasanop Vachiramon
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/14/6/406
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author Waranaree Winayanuwattikun
Vasanop Vachiramon
author_facet Waranaree Winayanuwattikun
Vasanop Vachiramon
author_sort Waranaree Winayanuwattikun
collection DOAJ
description The normal biological wound healing process consists of three precisely and highly programmed phases that require optimal conditions including internal and external factors. Any negative factors that disrupt the sequence or time frame of the healing mechanism can result in a non-healing wound or chronic ulcers. Botulinum neurotoxin A (BoNT-A) which is generally known as anti-contraction of muscles has been reported as a successful treatment in various types of chronic ulcers. The aim of this study is to review the outcome of treatment with BoNT-A for chronic skin ulcers. The results demonstrated some positive effects of BoNT-A on chronic ulcers. Ischemic ulcers secondary to Raynaud’s phenomenon seem to be the most promising type of ulcers that have benefited from BoNT-A. The rationale behind using BoNT-A to fasten the wound healing process is also discussed. Further clinical trial studies should be conducted to affirm the efficacy of wound healing using BoNT-A administration.
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spelling doaj.art-5266b8f3ab004485963dbb55e1c45bde2023-11-23T19:17:24ZengMDPI AGToxins2072-66512022-06-0114640610.3390/toxins14060406Botulinum Toxin Type A for the Treatment of Skin Ulcers: A Review ArticleWaranaree Winayanuwattikun0Vasanop Vachiramon1Division of Dermatology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, ThailandDivision of Dermatology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, ThailandThe normal biological wound healing process consists of three precisely and highly programmed phases that require optimal conditions including internal and external factors. Any negative factors that disrupt the sequence or time frame of the healing mechanism can result in a non-healing wound or chronic ulcers. Botulinum neurotoxin A (BoNT-A) which is generally known as anti-contraction of muscles has been reported as a successful treatment in various types of chronic ulcers. The aim of this study is to review the outcome of treatment with BoNT-A for chronic skin ulcers. The results demonstrated some positive effects of BoNT-A on chronic ulcers. Ischemic ulcers secondary to Raynaud’s phenomenon seem to be the most promising type of ulcers that have benefited from BoNT-A. The rationale behind using BoNT-A to fasten the wound healing process is also discussed. Further clinical trial studies should be conducted to affirm the efficacy of wound healing using BoNT-A administration.https://www.mdpi.com/2072-6651/14/6/406BoNT-AischemianeuromodulatorsneurotoxinRaynaud’s phenomenonwound
spellingShingle Waranaree Winayanuwattikun
Vasanop Vachiramon
Botulinum Toxin Type A for the Treatment of Skin Ulcers: A Review Article
Toxins
BoNT-A
ischemia
neuromodulators
neurotoxin
Raynaud’s phenomenon
wound
title Botulinum Toxin Type A for the Treatment of Skin Ulcers: A Review Article
title_full Botulinum Toxin Type A for the Treatment of Skin Ulcers: A Review Article
title_fullStr Botulinum Toxin Type A for the Treatment of Skin Ulcers: A Review Article
title_full_unstemmed Botulinum Toxin Type A for the Treatment of Skin Ulcers: A Review Article
title_short Botulinum Toxin Type A for the Treatment of Skin Ulcers: A Review Article
title_sort botulinum toxin type a for the treatment of skin ulcers a review article
topic BoNT-A
ischemia
neuromodulators
neurotoxin
Raynaud’s phenomenon
wound
url https://www.mdpi.com/2072-6651/14/6/406
work_keys_str_mv AT waranareewinayanuwattikun botulinumtoxintypeaforthetreatmentofskinulcersareviewarticle
AT vasanopvachiramon botulinumtoxintypeaforthetreatmentofskinulcersareviewarticle