EWMA
Atypical Wounds Dr. Kirsi Isoherranen Editor of the EWMA Atypical Wounds document EWMA Council Member
New EWMA document about Atypical Wounds is being prepared for publication in spring 2019
Julie Jordan O’Brien Co-editor of the EWMA Atypical Wounds document EWMA Council Member
Kirsi Isoherranen addressing the Atypical Wounds focus session at the EWMA 2018 Krakow Conference.
An author group chaired by Document Editor Dr Kirsi Isoherranen is currently working on a new EWMA document that will be published and launched at the EWMA 2019 conference in Gothenburg, Sweden. The overall topic of the document is atypical wounds, those wounds that create the most challenging situa-tions for clinicians and/or patients from prevention, treatment and organisational perspectives.
Correspondence: ewma@ewma.org
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Atypical wounds include a broad spectrum of conditions or diseases caused by inflammation, infection, malig-nancy, chronic illnesses or genetic disorders. An atypical wound may be suspected if the wound has an ab-normal presentation or location and does not heal following a good treatment plan. The prevalence of atypi-cal wounds can be as high as 10% of all wounds, and it is probable that many of these wounds are underdiag-nosed. The aim of the document is to bring awareness to the clinical picture, diagnosis and treatment of these wounds. Typical challenges include considerable diagnostic delays and prolonged healing
times; for example, inflammatory and vasculopathy wounds (such as pyoderma gangrenosum, an inflammatory neutrophilic dis-order and cutaneous vasculitis). In addition, many atypical wounds have an enormous impact on the quality of life in the affected individuals, and a multidisplinary team approach is neccesary to ensure patients receive high quality treatment in a timely fashion. Content The document is expected to include the following chapters. However, as the drafting of the document is still in an early stage, changes to the chapters/content and names of chapters may still occur. Chapters n Definitions
and Abbreviations
n Introduction
and Overview
n Pyoderma
Gangrenosum
n Vasculitic
Ulcers
n Livedoid
Vasculopathy EWMA Journal 
2018 vol 19 no 2