Crushed Corticosteroid Tablets in Peristomal Pyoderma Gangrenosum.
BACKGROUND: Peristomal pyoderma gangrenosum (PPG) is a variant of pyoderma gangrenosum (PG). It results from a pathergy response to trauma from effluent from the ostomy or secondary to trauma caused by removal of the ostomy appliance adhesive in contact with the skin. Currently, no evidence-based gu...
| Publicado en: | Journal of Wound, Ostomy & Continence Nursing Vol. 48; no. 5; pp. 460 - 463 |
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| Autores principales: | , , , , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Sep/Oct2021
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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=152592733&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152592733 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: Sep/Oct2021 vid: 48 iid: 5 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 152592733 152592733 152592733 10.1097/WON.0000000000000798 152592733 ppf: 460 ppct: 3 formats: tig: atl: Crushed Corticosteroid Tablets in Peristomal Pyoderma Gangrenosum. aug: au: Burlando, Martina Paravisi, Andrea Bodini, Giorgia Cozzan, Emanuele Parodi, Aurora affil: Policlinico San Martino Hospital, Genova, Italy sug: subj: Pyoderma Gangrenosum Drug Therapy Adrenal Cortex Hormones Therapeutic Use Adrenal Cortex Hormones Administration and Dosage Adult Female Treatment Failure Adalimumab Adult: 19-44 years Female ab: BACKGROUND: Peristomal pyoderma gangrenosum (PPG) is a variant of pyoderma gangrenosum (PG). It results from a pathergy response to trauma from effluent from the ostomy or secondary to trauma caused by removal of the ostomy appliance adhesive in contact with the skin. Currently, no evidence-based guidelines for the management of PPG exist. This case study reports a dramatic response to crushed corticosteroid tablets in a patient who proved refractory to first- and second-line treatments of her PPG and several surgeries. CASE: Ms I was a 39-year-old woman with Crohn's disease who underwent several ileostomies, developed PPG, and failed treatment with adalimumab. Her PPG was successfully treated topically with crushed prednisone tablets. CONCLUSION: We found that crushed corticosteroid tablets were an effective treatment of PPG, due to the ability to reduce pain and allow adhesion of the ostomy appliance. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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