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Treating Peristomal Pyoderma Gangrenosum With Topical Crushed Prednisone: A Report of Three Cases

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Section: 
Feature
Author(s): 
Lynn E. DeMartyn, BSN, RN, CWOCN; Nancy Ann Faller, RN, MSN, PhD, CWOCN; and Laurie Miller, RN, BSN, CWOCN

Index: Ostomy Wound Manage. 2014;60(6):50–54.

Keywords:case study, stoma, pyoderma gangrenosum, ostomy, peristomal

Abstract

  The main goals of treating peristomal pyoderma gangrenosum (PPG) — ulcerations in the stomal area — are to decrease pain, increase pouch adherence, and decrease pyoderma. The literature suggests a wide variety of approaches to achieve this goal, but few studies report outcomes on the use of topical steroids. The purpose of this case study is to describe the results of a protocol developed to meet the goals of care for patients with PPG.

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