Peristomal Pyoderma Gangrenosum in a Rectal Cancer Patient With an Ileostomy: A Case Study.

BACKGROUND: Peristomal pyoderma gangrenosum (PPG) is a rare complication mainly associated with inflammatory bowel disease. Although it has also been found in patients with an ileostomy with rectal cancer, the best treatment options in this context have not been precisely elucidated. CASE: This case...

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Publicado en:Journal of Wound, Ostomy & Continence Nursing Vol. 47; no. 4; pp. 403 - 407
Autores principales: Cerdan Santacruz, Carlos, Lancharro Bermudez, Margarita, Caparros Sanz, Maria Rosario, Cerdan Miguel, Javier
Formato: case study pictorial Journal Article
Publicado: Lippincott Williams & Wilkins Jul/Aug2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2020
      vid: 47
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Peristomal Pyoderma Gangrenosum in a Rectal Cancer Patient With an Ileostomy: A Case Study.
      aug:
        au:
          Cerdan Santacruz, Carlos
          Lancharro Bermudez, Margarita
          Caparros Sanz, Maria Rosario
          Cerdan Miguel, Javier
        affil: Colorectal Surgery Department, Santa Elena Clinic, Madrid, Spain
      sug:
        subj:
          Peristomal Skin Care
          Pyoderma Gangrenosum Diagnosis
          Pyoderma Gangrenosum Drug Therapy
          Rectal Neoplasms
          Ileostomy
          Surgical Wound Infection
          Female
          Aged
          Multidisciplinary Care Team
          Early Diagnosis
          Rare Diseases
          Treatment Outcomes
          Clinical Competence
          Aged: 65+ years
          Female
      ab: BACKGROUND: Peristomal pyoderma gangrenosum (PPG) is a rare complication mainly associated with inflammatory bowel disease. Although it has also been found in patients with an ileostomy with rectal cancer, the best treatment options in this context have not been precisely elucidated. CASE: This case report describes the importance of a multidisciplinary treatment approach for a rare case of PPG around a protective ileostomy resulting from rectal cancer. CONCLUSIONS: Early diagnosis of PPG is imperative to avoid further extension of the lesion. Aggressive management with a multidrug treatment, both topical and systemic, is recommended in severe cases. Close monitoring of the response is necessary, given the variability in the effectiveness of the treatments.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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