Two percent topical phenytoin sodium solution in treating pyoderma gangrenosum: a cohort study.

Oral phenytoin is an extensively used medicine for the treatment of convulsive disorders. Topical phenytoin has also been used for various types of ulcers. To determine the effectiveness of 2% topical phenytoin sodium solution in treating recalcitrant pyoderma gangrenosum. Six patients with treatmen...

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Detalles Bibliográficos
Publicado en:International Wound Journal Vol. 7; no. 6; pp. 519 - 524
Autores principales: Fonseka, Hewa, Ekanayake, Sandeepa Madhujith Bandara, Dissanayake, Manel
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2010
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Oral phenytoin is an extensively used medicine for the treatment of convulsive disorders. Topical phenytoin has also been used for various types of ulcers. To determine the effectiveness of 2% topical phenytoin sodium solution in treating recalcitrant pyoderma gangrenosum. Six patients with treatment-resistant pyoderma gangrenosum who attended to Dermatology Unit/Ward were taken to the study and applied topical 2% phenytoin sodium solution to the wounds alone with other systemic therapy. Response to the treatment was assessed weekly. Three patients had idiopathic PG and other three had secondary diseases. At the end of the 4th week four patients showed complete resolution of the ulcers whereas other two patients showed the partial resolution. No adverse effects were noted. Phenytoin sodium 2% solution is beneficial for pyoderma gangrenosum (PG) with various etiologies. It enhanced the healing of the ulcer especially when the patient has treatment resistant disease.