Abordaje multidisciplinar de un paciente con una úlcera perianal asociada a pomada antihemorroidal.
Introduction: Perianal ulcers resulting from the use of hemorrhoidal ointments have been rarely reported to date. Nevertheless, there has been a surge in the number of cases reported during the COVID-19 pandemic. Case report: An independent 82-year-old male experienced a 35,80 cm² perianal ulcer, wi...
| Publicado en: | Gerokomos Vol. 34; no. 4; pp. 282 - 285 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Indemm Farma SL
dic2023
|
| 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=174480811&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174480811 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1134928X 1FTO jtl: Gerokomos issn: 1134928X maglogo: N pubinfo: dt: dic2023 vid: 34 iid: 4 pid: 26307 pub: Indemm Farma SL artinfo: ui: 174480811 174480811 174480811 174480811 ppf: 282 ppct: 3 formats: tig: atl: Abordaje multidisciplinar de un paciente con una úlcera perianal asociada a pomada antihemorroidal. aug: au: Masó-Albareda, Clara Casals-Zorita, Marta Bajo-Peñas, Lorena Otero-Viñas, Marta Espaulella-Panicot, Joan Ferrer-Solà, Marta affil: Enfermera. Unidad Clínica de Heridas. Hospital Universitario de la Santa Creu de Vic. Vic, Barcelona, España sug: subj: Anus Diseases Etiology Ulcer Etiology Hemorrhoids Therapy Ointments Adverse Effects Male Aged, 80 and Over Multidisciplinary Care Team Collaboration Wound Healing Ulcer Prevention and Control Growth Substances Aged, 80 & over Male ab: Introduction: Perianal ulcers resulting from the use of hemorrhoidal ointments have been rarely reported to date. Nevertheless, there has been a surge in the number of cases reported during the COVID-19 pandemic. Case report: An independent 82-year-old male experienced a 35,80 cm² perianal ulcer, with no underlying condition or concomitant disease that could explain the cause of the ulcer. The application of thorough exclusion criteria, including a biopsy to rule out pyoderma gangrenosum, led to the identification of a hemorrhoidal rectal ointment as the cause. Action plan: The ulcer healed completely when a multidisciplinary intervention and an autologous growth factors advanced therapy were applied. Discussion and conclusions: This case has been scarcely reported in the literature, although this hemorrhoidal ointment has been on the market for over 40 years. Medical assessment before prescription and patients' followup is recommended. Introducción: Hasta la fecha, la manifestación de una úlcera perianal provocada por una pomada antihemorroidal no se ha descrito con frecuencia. Sin embargo, se ha objetivado un incremento de los casos durante la pandemia de COVID-19. Caso clínico: Varón de 82 años independiente, que presentó una úlcera perianal de 35,8 cm² sin ninguna patología ni enfermedad concomitante que explicara su causa. La aplicación de criterios de exclusión exhaustivos, incluida una biopsia para rechazar el pioderma gangrenoso, identificó una pomada rectal hemorroidal como la causa de la úlcera. Plan de actuación: La herida curó tras aplicar una intervención multidisciplinaria y una terapia con factores de crecimiento autólogos. Discusión y conclusiones: Este caso ha sido escasamente reportado en la literatura, aunque esta pomada hemorroidal se comercializa desde hace más de 40 años. Se recomienda evaluación médica antes de la prescripción. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: Spanish refInfo: holdings: @attributes: islocal: N |
|---|