treatment for pyoderma gangrenosa...

Specialties Wound

Published

We are having a tough time treating this and nothing is working. What have you guys worked that has been effective.

Thanks,

Wendy

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Specializes in Med-Surg.

My DH has had bouts with this--it's related to his crohn's disease somehow. His treatment for the crohn's usually works, but sometimes he has to start the prednisone. Protopic has really helped the last couple of times he has started having sores. It seems to keep them from getting really bad, and definitely has stopped further scarring.

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Does this protopic help if eschar is present? Thanks.

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Specializes in Med-Surg.
Originally posted by wenron

Does this protopic help if eschar is present? Thanks.

Now that, I don't know. He caught it early the last few times it started and managed to keep it from turning into those horrible sores. Sorry I can't help!

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I have pyoderma and the treatment i have been undergoing is called IVIG(inter venus immune globlin).Its an infusion that seems to work.My dermatologist got me started on it.I do not have crohns disease and once tried Remicaid which they use to treat Crohns and had a bad reaction to it but i dont think it works anyhow.Other than that,treatments are noy known.Have 2 leg sores for over 8 years and both legs totally scarred from previous.

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Specializes in Vents, Telemetry, Home Care, Home infusion.

no experience with this diagnosis...little sleuthing:

photo: pyoderma gangrenosa - photoalbum

photo with eschar: catalog of clinical images

catalog of clinical images. pyoderma gangrenosa: autoimmune disorder resulting in a vasculitis which causes slowly progressive ...

medicine.ucsd.edu/clinicalimg/ skin-pyoderma-gangrenosa.html

medical articles:

management of pyoderma gangrenosum – an update bhat ramesh m ...

therapy insight: pyoderma gangrenosum-old disease, new management.

nature clinical practice gastroenterology & hepatology (2005) 2, 587-594

doi:10.1038/ncpgasthep0339 icon_doi.gif

http://www.nature.com/ncpgasthep/journal/v2/n12/full/ncpgasthep0339.html

wound care suggestions...

aggressive management of pyoderma gangrenosum: a synergistic ...

advances in skin & wound care: diagnosing pyoderma gangrenosum

may/jun 2001 by trent, jennifer t, kirsner, robert

advances in skin & wound care: managing peristomal pyoderma ...

nov/dec 2001 by hess, cathy thomas

pyoderma gangrenosa (ulcerative, pustular, bullous and vegetative). the silverseal® wound pad dressings may be applied to pyoderma gangrenosa cutaneous ...

www.dermasciences.com/products/advancedwoundcare/ careplandetail.asp?cat=1&careplan=14 - 19k - supplemental result

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We have a patient with this condition, she has a large leg ulcer secondary to the pyoderma gangrenosa. We are treating the ulcer with Protopic around the edges, and Anabact Gel to the 'broken' area. She is also prescribed Dexamethasone orally, and Cyclosporin injections.

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I had pyoderma gangrenosa for 5 yrs already and nothing worked

so people this is the only treatment for that all my boils scarred

the name is

BETAMETHASONE DIPROPIONATE CREAM USP 0.05%

that is the only medication for it trust me ...I went thru a 5 yr ordeal to get rid of it but when I got this cream : the wounds start to scar in a week you will definitely see the results .... apply it once a day and if your wounds are very bad apply it 2 times a day

good luck and God Bless you

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Specializes in Hemodialysis, Home Health.

This is great information... I had a dear lady in my care for 6 mos. who had this.. all were were told to use was Dakin's Solution wet to dry and she was given lots of prednisone. Those wounds took for EVER to heal. She prone to getting this, so I'm going to bookmark this and let the family know so they can confer with her doc... for the next time.

Thank You !!! :up:

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I strongly suggest for you to tell her as soon as possible

because this cream does miracles or at least it did it to me

let me know if you have questions

God bless

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Specializes in Hemodialysis, Home Health.
I strongly suggest for you to tell her as soon as possible

because this cream does miracles or at least it did it to me

let me know if you have questions

God bless

Thanx again.. I really appreciate it ! Will pass the info on to her husband, and if her doc will try it (and I certainly hope he does.. this woman has been through ENOUGH!) I'll sure let you know the results! :)

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