Here - EWMA 2013

POSTER: CASE STUDY
Poster: Case Study
P 358
PYODERMA GANGRENOSUM HAS MANY FACES – A CASE SERIES
Stella Amesz 1 , G van der Klooster 1
1 Wond Expertise Centrum en Zorg Brug (Gouda, Netherlands).
Aim: Pyoderma gangrenosum is a rare and severe skin disease which occurs
spontaneously or after skin damage. The diagnosis is challenging and relies on clinical
features as no specific histopathological test is available. The aim of the case series
was to evaluate the effectiveness of a local treatment regime using betamethasone
cream.
Methods: Three cases were evaluated using case ascertainment. Ulcer healing was
assessed using clinical observation and digital photographs, comparing day 0 versus
end (healing). Debridement was performed where applicable. All patients received once
daily application of betamethasone and pain medication.
Results: Patient 1: 88 year-old female presented with a small very painful (VAS 9,4)
pretibial, necrotic tissue containing leg ulcer. Her ulcer healed slowly within 7 months.
Patient 2: A 92 year old male with a history of dementia and blather carcinoma had
various very painful peristomal ulcers, which had closed within 3 weeks after starting
treatment. Patient 3: A 79 year old female with a urostoma had three very painful (VAS
9,8) peristomal ulcers, which had been there for more than three years. Her ulcers
healed after 4 months of treatment.
Conclusion: Once the diagnosis was concluded appropriate treatment was started. In
all three patients pain had reduced by the time the inflammation had subsided.
P 359
Poster: Case Study
The use of a *Hydrophobic broad spectrum antimicrobial dressing
containing DACC
Maria Taliana 1 , Diane Debono 1
1 Rehabilitation Hospital Karin Grech (Pieta’, Malta).
Aim: To manage, control and heal a clinically infected wound on the posterior middle
third of the right lower limb after several trials with silver dressings on an 83 year old
lady.
Methods: Diagnostic tests done to exclude deep vein thrombosis. Application of a
hydrophobic broad spectrum antimicrobial dressing twice weekly under a one layer of
compression bandaging.
Results: Already after two weeks the wound decresed in size, the exudates were more
controlled and the level of pain diminished.
Conclusion: The wound was completely healed using a *hydrophobic broad spectrum
antimicrobial dressing with minimal scarring after 17 weeks. The patient’s morale grew
gradually higher as the wound became smaller and less painful. Eventually she was
confident enough to socialize again.
*Reference not available.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
209