Supplementary Table 1. Amputee Skin Condition
Subject No / Grade / Dermatologist Grade Description / Dermatologist Comments / Subject Own Report / Conventional System (Control)1 / Good / Erythematous, macules, sl.scaling,
hyperpigmentation / Slight lichenification, pruritis, follicular predominance / Rash on upper leg, redness, itching / Deodorant, A&D ointment, talc
2 / Fair / Diffuse erythema, moderate lichenification, hyperpigmentation / Slight chaffing, pruritis, sore, 5 mm erythematous erosion, linear 4mm X 5 cm erythematous plaques, extensive dermal edema, pressure urticaria / Itching, redness, burning, raw within two hours / Shortened sleeve, nylon, baby lotion
3 / n/a / n/a / n/a / Open sore behind knee, redness, pinching behind knee, rash, acne / Shortened sleeve, Cool rag to alleviate itching
4 / Good-fair / Slight to moderate lichenification / Posterior violaceous erythematous hyperpigmented patches, minimum scaling, 3 6-8 mm erosions, 2 2 mm follicular keratotis papules / Increased perspiration and itching with a new sock / Maintain good hygiene
5 / Good-fair / Erythematous, slight chaffing, minimal scaling, 3 mm erythematous based erosion, hyperpigmentation / Slight lichenification, pruritus, 4 cm lichenification plaque, 3 mm papules / Water blisters, infection, redness, perspiration, tingling after removal / DermaShield, aloe gel
6 / Poor / Slight scaling, slight lichenification, 5x2 cm erythematous nonindurated erosion with crust / Irritant/allergic contact dermatitis, multiple areas of 3-5 mm flat erythematous scaling papules coalescing to 2-3 cm flat plaques and patches / Increased perspiration after removal, redness, itching / Wipes off at night, rubs for 15 minutes
7 / n/a / n/a / n/a / A few cysts, cutting skin at edge of sleeve / Uses short sleeve, good hygiene
8 / Good / Slight lichenification, hyperpigmented violacous scaling / Slight chaffing, 1.5 cm fibrosed epidermoid cyst / Ingrown hairs, blood blisters, pressure sores, perspiration / Laser cream, Eucerin 1x per month
9 / Good / 2.5 cm callus / Slight lichenification, slight erythema, hyperpigmentation, 1-4 mm skin colored lichenficated scale, papules with keratotic follicular plugs / Callous areas, summer heat rash, problems with new sleeves / Neosporin lotion, Epson salt soak
10 / Very Good / 1 mm skin colored papules, moderate hyperpigmentation, scaling, 2-4 cm vilaceous hyperpigmented patches / Lichenified plaques, 2 cm dicoid, hemosiderosis / Blisters at first, acne pustules, increased perspiration in summer / Uses short sleeve, bathes 2x daily
11 / Good / 1.5 cm soft subcutaneous nodule (limpoma), minimal erythema and scaling, 5 cm macule, hyperpigmentation / Posterior thigh echymosis, 3 mm small epidermoid cycts / Blistering, redness, itching after removal, pinching behind knees / Uses short sleeve, nylon, lotion
12 / Good-fair / Chaffing, lichenfication, erythema, scaling / Erythematous violaceous scaling, linear erythematous edematous plaques, urticaria suggestive of pressure induced from silicone sock / Sensitive skin, redness, burning, blisters, small abrasions / nylon
13 / n/a / n/a / n/a / Dry skin, increased perspiration, occasional redness, in-grown hairs / Uses strap in summer