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Portable negative‐pressure wound therapy for pyoderma gangrenosum: Report of two cases
Author(s) -
Yamaguchi Yasuyuki,
Yanagi Teruki,
Sato Kazumasa,
Yoshimoto Norihiro,
Hirata Yu,
Ujiie Inkin,
Nishimura Machiko,
Natsuga Ken,
Shiiya Chihiro,
Tsukinaga Ichiro,
Shimizu Hiroshi
Publication year - 2018
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/1346-8138.14180
Subject(s) - pyoderma gangrenosum , negative pressure wound therapy , medicine , wound healing , dermatology , surgery , pathology , disease , alternative medicine
Pyoderma gangrenosum is a chronic non‐infectious neutrophilic dermatosis that causes undermining ulcers. Topical therapies for the deep ulcers of pyoderma gangrenosum have not been established. To investigate whether negative‐pressure wound therapy is effective for a pyoderma gangrenosum ulcer, we used the PICO single use negative‐pressure wound therapy system (Smith & Nephew, London, UK) for two pyoderma gangrenosum patients. In these cases, the ulcers decreased in size and necrolytic tissue was removed notably. Moreover, there were no secondary infections nor was there Koebner phenomena. Our cases suggest that portable negative‐pressure wound therapy can be a treatment option for deep, intractable ulcers caused by pyoderma gangrenosum. Because portable negative‐pressure wound therapy devices afford increased mobility to patients, they can give the patient a better quality of life than standard negative‐pressure wound therapy systems do.