EP457 A STUDY CASE: PERIANAL ULCER CAUSED BY A HEMORRHOIDAL OINTMENT...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy
Introduction: The manifestation of a perianal ulcer caused by a hemorrhoidal ointment has not been commonly described to date. However, an increasing number of cases has been reported during the COVID-19 pandemic and the resulting confinement in Spain. The case we are presenting is not isolated, as...
| Publicado en: | Journal of Wound Management Vol. 24; no. 2; p. 295 |
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| Autores principales: | , , , , , , , , |
| Formato: | abstract case study proceedings Journal Article |
| Publicado: |
Cambridge Publishing
Jul2023
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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=164969157&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164969157 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27885771 MZEQ jtl: Journal of Wound Management issn: 27885771 maglogo: N pubinfo: dt: Jul2023 vid: 24 iid: 2 pid: 66266 pub: Cambridge Publishing artinfo: ui: 164969157 164969157 164969157 164969157 ppf: 295 ppct: 0 formats: fmt: @attributes: type: P tig: atl: EP457 A STUDY CASE: PERIANAL ULCER CAUSED BY A HEMORRHOIDAL OINTMENT...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy aug: au: Albareda, Clara Masó Dalmau, Maria Rovira Zorita, Marta Casals Jaques, Eva Bonjoch Peñas, Lorena Bajo Viñas, Marta Otero Panicot, Joan Espaulella Solà, Marta Ferrer Salomón Elcacho, Maria Carme affil: Hospital Universitari de la Santa Creu de Vic, Clinical Wound Unit, Vic, Spain sug: subj: Ulcer Etiology Hemorrhoids Therapy Ointments Adverse Effects Anus Diseases Etiology Wound Healing Treatment Outcomes Anus Diseases Therapy Ulcer Therapy Congresses and Conferences Italy Italy ab: Introduction: The manifestation of a perianal ulcer caused by a hemorrhoidal ointment has not been commonly described to date. However, an increasing number of cases has been reported during the COVID-19 pandemic and the resulting confinement in Spain. The case we are presenting is not isolated, as other cases have been documented after they used the same ointment containing the active ingredients triamcinolone acetonide, lidocaine, and pentosan polysulfate sodium. Case description: We present a case of an autonomous 82-year-old male affected by a 35,80cm² perianal ulcer with no condition or concomitant disease that could justify the ulcer's cause. The application of in-depth exclusion criteria, including a biopsy to refuse pyoderma gangrenosum, allowed the identification of a hemorrhoidal rectal ointment as the cause of the ulcer. We led a multidisciplinary therapeutic approach to treat this complex wound. The ulcer healed completely after three months when the application of the ointment was stopped and the autologous growth factors advanced therapy was applied. Discussion: The vasoconstrictor effect of corticosteroids and its risk of causing skin atrophy after continued use are well known. Before prescribing some hemorrhoidal ointment to elder patients, clinicians should consider the great potential harm of triamcinolone acetonide an ingredient of some hemorrhoidal ointments. Conclusions: This is an interesting case describing a condition barely reported in the literature although this hemorrhoidal ointment has been marketed for more than 40 years. It is relevant to show the damage that can be caused without a proper medical follow-up. pubtype: Academic Journal doctype: abstract case study proceedings Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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