The use of a topical compound cream product with Chitosan, Silver Sulfadiazine Bentonite hidrogel and Lactic acid for the treatment of a patient with Rosacea and ulcerated Livedoid Vasculopathy
Journal Title: Nasza Dermatologia Online - Year 2015, Vol 6, Issue 4
Abstract
Introduction : The aims of this study were to investigate the use of a topical compound cream product with Chitosan, Silver Sulfadiazine, Bentonite hidrogel and Lactic acid for the treatment of a patient with Rosacea and prolonged ulcerated Livedo Vasculitis. Methods: A patient with ulcerated Livedo Vasculitis applied the cream 22 months daily and was examined clinically. Results: At five months the area of the right foot ulcer decreased to a diameter of 18 mm. The pain disappeared (anamnestically) in 7 days around the ulcerated areas reticulated atrophic hipopigmented areas were seen-atrophie blanche and there ware still 4 small ulcerations. I noted also the disappearance of the livedoid area from the middle of the second toe finger. The left foot ulcer was epithelised.Wound cultures were negative. After another five months of continues use of the topical cream the situation improves, diameter of the ulcer decreased at 13 mm, the small ulcerations disappeared but continues to stay on the right foot. After another year the situation is stable at the right foot but the left ulcer was partially recurrent and it was painful. Conclusions: The topical compound formula with four active ingredients: Silver sulfadiazine, bentonite hidrogel, chitosan and lactic acid it was a cheap treatment for the patient, it was tolerated without sensitizing even it was used continuously for 22 months
Authors and Affiliations
Alin Tatu
Keywords
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