| Autor: |
Albareda, Clara Masó, Dalmau, Maria Rovira, Zorita, Marta Casals, Jaques, Eva Bonjoch, Peñas, Lorena Bajo, Viñas, Marta Otero, Panicot, Joan Espaulella, Solà, Marta Ferrer, Salomón Elcacho, Maria Carme |
| Předmět: |
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| Zdroj: |
Journal of Wound Management; Jul2023, Vol. 24 Issue 2, p295-295, 1/2p |
| Abstrakt: |
Introduction: The manifestation of a perianal ulcer caused by a hemorrhoidal ointment has not been commonly described to date. However, an increasing number of cases has been reported during the COVID-19 pandemic and the resulting confinement in Spain. The case we are presenting is not isolated, as other cases have been documented after they used the same ointment containing the active ingredients triamcinolone acetonide, lidocaine, and pentosan polysulfate sodium. Case description: We present a case of an autonomous 82-year-old male affected by a 35,80cm² perianal ulcer with no condition or concomitant disease that could justify the ulcer's cause. The application of in-depth exclusion criteria, including a biopsy to refuse pyoderma gangrenosum, allowed the identification of a hemorrhoidal rectal ointment as the cause of the ulcer. We led a multidisciplinary therapeutic approach to treat this complex wound. The ulcer healed completely after three months when the application of the ointment was stopped and the autologous growth factors advanced therapy was applied. Discussion: The vasoconstrictor effect of corticosteroids and its risk of causing skin atrophy after continued use are well known. Before prescribing some hemorrhoidal ointment to elder patients, clinicians should consider the great potential harm of triamcinolone acetonide an ingredient of some hemorrhoidal ointments. Conclusions: This is an interesting case describing a condition barely reported in the literature although this hemorrhoidal ointment has been marketed for more than 40 years. It is relevant to show the damage that can be caused without a proper medical follow-up. [ABSTRACT FROM AUTHOR] |
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