Open AccessA novel topical therapy for resistant and early peristomal pyoderma gangrenosum
Author(s) -
Pearson Wendy A.,
Prentice David A.,
Sinclair Deborah L.,
Lim Lee Y.,
Carville Keryln J.
Publication year - 2019
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.13164
Subject(s) - medicine , pyoderma gangrenosum , dermatology , stoma (medicine) , wound care , surgery , topical agents , pyoderma , disease
Peristomal pyoderma gangrenosum (PPG) is an under‐recognised and difficult condition to treat. We describe a case series using a novel topical combination therapy that promotes wound healing and allows for adhesion of the stoma appliance. A crushed oral prednisolone tablet mixed with Stomahesive Protective Powder (ConvaTec) was applied topically to seven patients with PPG and resulted in pain relief and wound healing in six of seven patients. Only one patient experienced recurrence. The novel topical therapy we describe is cost‐effective, readily available, and easily applied in any inpatient or outpatient setting.