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. Author manuscript; available in PMC: 2014 Nov 1.
Published in final edited form as: J Tissue Viability. 2013 Jun 10;22(4):92–102. doi: 10.1016/j.jtv.2013.04.003

Table 3.

Summary of treatments for connective tissue ulcers

Treatment

Rheumatoid arthritis Pinch grafting
Compression stockings when venous
insufficiency
 present
Adalimumab 40mg twice a month with
 Methotrexate 20mg weekly
Topical tacrolimus
Granulocyte monocyte adsorption

Scleroderma Nifedipine
Iloprost
Warfarin
Tretinoin
Enzymatic debridement with occlusive
dressing

Systemic lupus erythematosus With vasculitis- systemic corticosteroids with
 cytotoxic agents (azathioprine or
 cyclophosphamide)

Sjogren’s Syndrome Immunosuppressive agents

Dermatomyositis Cyclophosphamide
With Calcinosis – calcium channel blockers or
 colchicine

Mixed connective tissue disorder Depends on etiology of ulcer