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[高锰酸钾坐浴引起的肛周溃疡]

[Perianal ulcerations caused by potassium permanganate bath].

作者信息

Riehemann A-C, Körber A, Voshege N, Schadendorf D, Dissemond J

机构信息

Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, Hufelandstrasse 55, 45122, Essen, Deutschland.

出版信息

Hautarzt. 2010 May;61(5):435-8. doi: 10.1007/s00105-009-1777-2.

DOI:10.1007/s00105-009-1777-2
PMID:19475360
Abstract

A 73-year-old female patient presented with acute very painful perianal ulcerations. She reported using various ointments and later potassium permanganate baths because of maceration of the rima ani as a manifestation of her psoriasis vulgaris. Suddenly after starting the potassium permanganate baths, necrotic areas developed with then became ulcerated. After excluding the relevant differential diagnostic considerations, we diagnosed ulcerations caused by a caustic burn from potassium permanganate. After stooping potassium permanganate baths and employing modern moist wound therapy, we attained complete healing after 8 months of treatment.

摘要

一名73岁女性患者出现急性肛周剧痛性溃疡。她报告称,由于寻常型银屑病导致肛门裂浸渍,她使用了各种药膏,后来又进行了高锰酸钾坐浴。在开始高锰酸钾坐浴后不久,出现了坏死区域,随后发展为溃疡。在排除了相关鉴别诊断因素后,我们诊断为高锰酸钾腐蚀性烧伤引起的溃疡。在停止高锰酸钾坐浴并采用现代湿性伤口治疗后,经过8个月的治疗,溃疡完全愈合。

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引用本文的文献

1
A Rare Case of Anal and Perianal Chemical Burn in a Child due to Potassium Permanganate Crystals.一例儿童因高锰酸钾晶体导致肛门及肛周化学灼伤的罕见病例。
Drug Saf Case Rep. 2018 Feb 9;5(1):10. doi: 10.1007/s40800-018-0072-5.

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[Methicillin-resistant Staphylococcus aureus (MRSA) in chronic wounds: therapeutic options and perspectives].慢性伤口中的耐甲氧西林金黄色葡萄球菌(MRSA):治疗选择与前景
J Dtsch Dermatol Ges. 2005 Apr;3(4):256-62. doi: 10.1111/j.1610-0387.2005.05015.x.
2
[Modern wound dressings for the therapy of chronic wounds].[用于慢性伤口治疗的现代伤口敷料]
Hautarzt. 2006 Oct;57(10):881-7. doi: 10.1007/s00105-005-1054-y.
3
[When is a wound chronic?].[伤口何时会变为慢性?]
Hautarzt. 2006 Jan;57(1):55. doi: 10.1007/s00105-005-1048-9.
4
[Staphylococcal infections of the skin and mucous membranes. Guideline of the German Dermatologic Society, Study Group of Dermatologic Infectiology].[皮肤和黏膜的葡萄球菌感染。德国皮肤病学会皮肤感染病学研究组指南]
J Dtsch Dermatol Ges. 2005 Sep;3(9):726-34. doi: 10.1111/j.1610-0387.2005.05505.x.
5
Dressings and topical agents for surgical wounds healing by secondary intention.用于二期愈合的手术伤口的敷料和外用制剂。
Cochrane Database Syst Rev. 2004;2004(2):CD003554. doi: 10.1002/14651858.CD003554.pub2.
6
Unintentional ingestion of potassium permanganate.意外摄入高锰酸钾。
Pediatr Emerg Care. 2004 Mar;20(3):185-187. doi: 10.1097/01.pec.0000117926.65522.33.
7
Should potassium permanganate be used in wound care?伤口护理应该使用高锰酸钾吗?
Nurs Times. 2003;99(31):61.
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Potassium permanganate burn due to a dispensing error.因配药错误导致的高锰酸钾烧伤
Burns. 2003 Jun;29(4):401-2. doi: 10.1016/s0305-4179(02)00279-6.
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Caustic burn caused by potassium permanganate.高锰酸钾引起的苛性烧伤。
Arch Dis Child. 2003 Feb;88(2):96. doi: 10.1136/adc.88.2.96.
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Dressings and topical agents for arterial leg ulcers.下肢动脉溃疡的敷料和外用制剂
Cochrane Database Syst Rev. 2003(1):CD001836. doi: 10.1002/14651858.CD001836.