Topical Management of Peristomal Pyoderma Gangrenosum: A Report of 3 Case Studies.
BACKGROUND: Peristomal pyoderma gangrenosum (PPG) presents multiple challenges for healthcare providers. The diagnosis of PPG may be delayed, and it may be mistaken for an irritant dermatitis or an infection. Patients with ostomies secondary to inflammatory bowel disease (IBD) may experience PPG. Is...
| Publicado en: | Journal of Wound, Ostomy & Continence Nursing Vol. 48; no. 4; pp. 345 - 350 |
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| Autores principales: | , , , , , , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul/Aug2021
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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=151504797&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151504797 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10715754 4CQ jtl: Journal of Wound, Ostomy & Continence Nursing issn: 10715754 maglogo: N pubinfo: dt: Jul/Aug2021 vid: 48 iid: 4 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 151504797 151504797 151504797 10.1097/WON.0000000000000763 151504797 ppf: 345 ppct: 5 formats: tig: atl: Topical Management of Peristomal Pyoderma Gangrenosum: A Report of 3 Case Studies. aug: au: Toyoda, Tomohiro Mitsuyama, Shinji Nagao, Eri Abe, Fumihito Kimura, Masaaki Seido, Yurie Higuchi, Tetsuya affil: Tomohiro Toyoda, MD, Department of Dermatology, Toho University Sakura Medical Center, Sakura, Japan. sug: subj: Pyoderma Gangrenosum Prevention and Control Peristomal Skin Care Administration, Topical Ostomy Adverse Effects Inflammatory Bowel Diseases Complications Prednisone Therapeutic Use Adalimumab Therapeutic Use Drug Combinations Therapeutic Use Adult Necrosis Prevention and Control Ulcer Therapy Aged, 80 and Over Female Japan Ostomy Care Crohn Disease Complications Wound, Ostomy and Continence Nursing Adult: 19-44 years Aged, 80 & over Female ab: BACKGROUND: Peristomal pyoderma gangrenosum (PPG) presents multiple challenges for healthcare providers. The diagnosis of PPG may be delayed, and it may be mistaken for an irritant dermatitis or an infection. Patients with ostomies secondary to inflammatory bowel disease (IBD) may experience PPG. Issues related to PPG include difficulty maintaining a seal of the ostomy pouching system and preventing contamination of the painful, necrotic ulcerations characteristic of this condition. Treatment focuses on the appropriate assessment of the ulcers, successful pouch application, and proper management of IBD through a collaborative effort of both dermatologists and certified WOC nurses (CWOCN). CASES: We treated 3 patients diagnosed with Crohn's disease (CD) who developed refractory PPG. All 3 were treated with a topical steroid lotion, prednisone, and adalimumab or a combination of these agents. Ostomy products and application were tailored to prevent leakage and protect areas of ulceration. All ulcers were healed within 6 months of our initial consultation. CONCLUSION: We successfully managed 3 patients with CD and PPG with appropriate ostomy care, including revision of the ostomy pouching techniques, topical steroid treatment, and treatment based on assessment of ulcer status by the dermatologist and the WOC nurse. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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