Hyperbaric Oxygen Therapy for the Adjunctive Treatment of Pyoderma Gangrenosum: A Case Report.
Pyoderma gangrenosum (PG) is a neutrophilic dermatosis of unknown etiology characterized by an ulcerative skin condition and confirmed through a diagnosis of exclusion. Management usually consists of systemic drug therapy, such as corticosteroids, sulfones, or immunosuppressants, either alone or in...
| Publicado en: | Ostomy Wound Management Vol. 62; no. 5; pp. 32 - 36 |
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| Autores principales: | , , , , , , , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
HMP Global
May2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116933489&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 116933489 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08895899 4F3 jtl: Ostomy Wound Management issn: 08895899 maglogo: N pubinfo: dt: May2016 vid: 62 iid: 5 pid: 20465 pub: HMP Global place: Malvern, Pennsylvania artinfo: ui: 116933489 116933489 116933489 116933489 ppf: 32 ppct: 4 formats: tig: atl: Hyperbaric Oxygen Therapy for the Adjunctive Treatment of Pyoderma Gangrenosum: A Case Report. aug: au: l-Han Chiang Yi-Shu Liao Niann-Tzyy Dai Hao-Yu Chiao Chang-Yi Chou Shyi-Gen Chen Tim-Mo Chen Shun-Cheng Chang affil: Plastic resident, Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China sug: subj: Hyperbaric Oxygenation Pyoderma Gangrenosum Therapy Wound Care Methods Female Middle Age Ulcer Etiology Pyoderma Gangrenosum Diagnosis Prednisone Administration and Dosage Wound Healing Treatment Outcomes Middle Aged: 45-64 years Female ab: Pyoderma gangrenosum (PG) is a neutrophilic dermatosis of unknown etiology characterized by an ulcerative skin condition and confirmed through a diagnosis of exclusion. Management usually consists of systemic drug therapy, such as corticosteroids, sulfones, or immunosuppressants, either alone or in combination. Long-term use of these medications often has untold side effects. Hyperbaric oxygen therapy (HBOT) has been shown effective in the treatment of PG, reducing pain and tempering the need for medication. A case is presented of a 54-year-old woman with diabetes, hypertension, and a peptic ulcer who presented with painful, purulent ulcers on her buttocks, hands, and lower extremities of 2 weeks' duration. She was ultimately diagnosed with PG and provided 20 mg/day of oral prednisone for 1 week, tapered to 10 mg/day in the next week and then stopped. In addition, she received 12 sessions of HBOT — she breathed in 100% oxygen under 2.5 atmospheres absolute pressure for 90 minutes over 2 weeks. Her wounds healed without scarring. This excellent outcome including good wound healing, decreased pain, and reduced doses of systemic corticosteroids warrants additional study of the adjunctive use of HBOT for PG. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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