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Case Reports in Dermatological Medicine
Volume 2015, Article ID 576580, 6 pages
Case Report

Effectiveness of an Innovative Pulsed Electromagnetic Fields Stimulation in Healing of Untreatable Skin Ulcers in the Frail Elderly: Two Case Reports

1Department of Internal Medicine and Medical Therapy, Section of Geriatrics, University of Pavia, 27100 Pavia, Italy
2Agency for Elderly People Services, Hospital Santa Margherita, 27100 Pavia, Italy
3Ambra Elektron, Associazione Italiana di Biofisica per lo Studio dei Campi Elettromagnetici in Medicina, 00186 Rome, Italy
4Alberto Sorti Research Institute, Medicine and Metamolecular Biology, 10122 Turin, Italy
5Department of Public Health, Experimental and Forensic Medicine, Section of Human Nutrition, Endocrinology and Nutrition Unit, University of Pavia, 27100 Pavia, Italy
6Department of Public Health, Experimental and Forensic Medicine, Biostatistics and Clinical Epidemiology Unit, University of Pavia, 27100 Pavia, Italy

Received 1 August 2015; Accepted 15 October 2015

Academic Editor: Jeung-Hoon Lee

Copyright © 2015 Fabio Guerriero et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Recalcitrant skin ulcers are a major burden in elderly patients. Specifically, chronic wounds result in significant morbidity and mortality and have a profound economic impact. Pulsed electromagnetic fields (PEMFs) have proved to be a promising therapy for wound healing. Here we describe the first reported case of an innovative PEMF therapy, Emysimmetric Bilateral Stimulation (EBS), used to successfully treat refractory skin ulcers in two elderly and fragile patients. Case Presentation. Two elderly patients developed multiple chronic skin ulcerations. Despite appropriate treatment, the ulcers showed little improvement and the risk of amputation was high. Both patients underwent daily EBS therapy and standard dressing. After few weeks of treatment, major improvements were observed and all ulcers had healed. Conclusion. In patients with refractory ulceration, EBS therapy may be of real benefit in terms of faster healing. This case supports the supportive role for PEMFs in the treatment of skin ulceration in diabetes and is suggestive of a potential benefit of EBS in this clinical condition.