Open AccessSilver‐containing Hydrofiber Dressing is an Effective Adjunct in the Treatment of Pemphigus Vulgaris
Author(s) -
Wu ChiehShan,
Hsu HuiYu,
Hu Stephen ChuSung,
Chiu HsiuHui,
Chen GwoShing
Publication year - 2009
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70567-4
Subject(s) - pemphigus vulgaris , medicine , silver sulfadiazine , dermatology , pemphigus , surgery , wound healing
Pemphigus vulgaris is a life‐threatening autoimmune bullous dermatosis and its management represents a major challenge to medical teams. The primary treatments for pemphigus vulgaris are oral steroids and immunosuppressants, but topical approaches also play a role in disease management. Here, we report a patient with pemphigus vulgaris involving 62% of the total body surface area, with initial poor clinical response to systemic steroids and topical silver sulfadiazine therapy. However, a marked improvement in wound healing and decreased patient discomfort were observed after application of silver‐containing hydrofiber dressings (Aquacel‐Ag®). Therefore, silver‐containing hydrofiber dressings may offer an effective adjunct in the treatment of patients with pemphigus vulgaris with extensive skin involvement. Our encouraging experience with these dressing patches may be extended to manage other large exudation wounds.