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May 7, 2003

Management of Pressure Ulcers—Reply

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(17):2209-2211. doi:10.1001/jama.289.17.2209-a

To the Editor: In his Contempo Updates article about pressure ulcers, Dr Lyder did not address the systematic evaluation of the presence of pressure ulcer pain.1 Pain may arise from many sources, including bacterial enzymes, tissue erosion, therapeutic maneuvers, and comorbid conditions, such as contractures, arterial insufficiency, and neuropathy.2