Rapid and Sustained Resolution of Peristomal Pyoderma Gangrenosum With Aerosol Steroid Treatment.
BACKGROUND: Peristomal pyoderma gangrenosum (PPG) is a non-infectious neutrophilic dermatosis most commonly seen in the context of ostomies in inflammatory bowel disease. The lack of established treatment guidelines and high-quality evidence in the form of randomized controlled trials present a majo...
| Publicado en: | Journal of Wound, Ostomy & Continence Nursing Vol. 52; no. 1; pp. 81 - 84 |
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| Autores principales: | , , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan/Feb2025
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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=182341653&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 182341653 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: Jan/Feb2025 vid: 52 iid: 1 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 182341653 182341653 182341653 10.1097/WON.0000000000001150 182341653 ppf: 81 ppct: 3 formats: tig: atl: Rapid and Sustained Resolution of Peristomal Pyoderma Gangrenosum With Aerosol Steroid Treatment. aug: au: Mitsaki, Kyriaki Stefania Gaglani, Bindi Sethi, Mieran affil: Kyriaki Stefania Mitsaki, MBBCh, BSc (Hons), MSc, MRCP, Department of Dermatology, Northwick Park Hospital, London North West University Hospital NHS Trust, London, UK. sug: subj: Pyoderma Gangrenosum Diagnosis Steroids Therapeutic Use Doxycycline Therapeutic Use Fluticasone Therapeutic Use Aerosols Therapeutic Use Peristomal Skin Care Adult Male Skin Ulcer Etiology Biopsy Methods Skin Tests Microscopy Fluticasone Administration and Dosage Nebulizers and Vaporizers Pruritus Adult: 19-44 years Male ab: BACKGROUND: Peristomal pyoderma gangrenosum (PPG) is a non-infectious neutrophilic dermatosis most commonly seen in the context of ostomies in inflammatory bowel disease. The lack of established treatment guidelines and high-quality evidence in the form of randomized controlled trials present a major challenge in PPG management, owing to the rarity of the condition. Treatment can be further complicated by difficulties in maintaining the stoma pouch seal with conventional topical corticosteroids. CASE: We present a case of PPG treated with aerosol steroid inhaler, highlighting the need for innovative solutions in the management of the condition to maintain the stoma pouch seal. CONCLUSION: We achieved rapid and sustained resolution with the aerosol steroid, thus sparing the need for systemic agents, and we would like to advocate for its licensed use in PPG. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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