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Gerokomos
Print version ISSN 1134-928X
Abstract
MASO-ALBAREDA, Clara et al. Multidisciplinary approach to a patient with a perianal ulcer associated with hemorrhoidal ointment. Gerokomos [online]. 2023, vol.34, n.4, pp.282-284. Epub Mar 08, 2024. ISSN 1134-928X.
Introduction:
Perianal ulcers resulting from the use of hemorrhoidal ointments have been rarely reported to date. Nevertheless, there has been a surge in the number of cases reported during the COVID-19 pandemic.
Case report:
An independent 82-year-old male experienced a 35,80 cm² perianal ulcer, with no underlying condition or concomitant disease that could explain the cause of the ulcer. The application of thorough exclusion criteria, including a biopsy to rule out pyoderma gangrenosum, led to the identification of a hemorrhoidal rectal ointment as the cause.
Action plan:
The ulcer healed completely when a multidisciplinary intervention and an autologous growth factors advanced therapy were applied.
Discussion and conclusions:
This case has been scarcely reported in the literature, although this hemorrhoidal ointment has been on the market for over 40 years. Medical assessment before prescription and patients’ follow-up is recommended.
Keywords : Perianal ulcer; antihemorrhoidal ointment; lidocaine; topical corticosteroid; sodium pentosan polysulfate.