Wet wrap dressings as a rescue therapy option for erythrodermic psoriasis

Navrotski, Beatriz Regina de Fatima; Nihi, Francielle Melina; Camilleri, Michael; Cerci, Felipe B.

doi:10.1590/abd1806-4841.20186414

Cited by 4 publications

(2 citation statements)

References 9 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Mokslinių tyrimų metu pastebėta, kad gydymui ir slaugai taikant drėgnus tvarsčius, praėjus parai laiko, ženkliai sumažėja tokie simptomai, kaip niežėjimas, eritemos, pleiskanojimas. Tai greitas, pigus būdas išvengti labiausiai varginančių simptomų, bet turi būti atliekamas laikantis aseptikos-antiseptikos taisyklių [10].…”

Section: žVyneline Sergančių Pacientų Slaugos Ypatumai Ligoninės Stacionareunclassified

Žvyneline Sergančių Pacientų Slaugos Ypatumai Ligoninės Stacionare

Čerkauskaitė¹,

Kazlaitė²

2021

Health Sciences

View full text Add to dashboard Cite

Žvynelinė yra lėtinė, uždegiminė, neužkrečiamoji ir nepagydoma liga. Jos gydymas gali būti simptominis, vietinis arba sisteminis. Užtikrinant žvyneline sergančių pacientų slaugą, svarbu juos mokyti, stebėti psichologinės būklės pokyčius, informuoti apie paskirtą gydymą ir slaugą, vertinti odos vientisumą bei atlikti odos priežiūrą, taikant specifines procedūras, pavyzdžiui – drėgnųjų tvarsčių terapiją. Tyrimo tikslas – įvertinti žvyneline sergančių pacientų slaugos ypatumus ligoninės stacionare. Tyrimo rezultatai parodė, kad didžioji dalis slaugytojų žvynelinės formos sunkumą gali įvertinti iš dalies, o odos būklę dažniausiai vertina remdamiesi objektyviais kriterijais. Daugiausia slaugytojų visada moko pacientus atlikti tepimo procedūras. Slaugytojų nuomone, odą tausojančios drėgnųjų tvarsčių procedūros efektyvumas labiausiai priklauso nuo paciento odos būklės, dažniausiai pasitaikanti slaugos problema yra paciento nenoras bendrauti ir bendradarbiauti, o dažniausios komplikacijos – odos pažeidimai.

show abstract

Section: žVyneline Sergančių Pacientų Slaugos Ypatumai Ligoninės Stacionareunclassified

Žvyneline Sergančių Pacientų Slaugos Ypatumai Ligoninės Stacionare

Čerkauskaitė¹,

Kazlaitė²

2021

Health Sciences

View full text Add to dashboard Cite

show abstract

“…WWT provides an ancillary and efficacious treatment option for erythroderma. Navrotski et al 5 reported 7 cases of erythrodermic psoriasis in apparent improvement after 48 to 72 h of WWT. Compound Glycyrrhizin was the common adjuvant therapy for inflammatory dermatosis used in China.…”

mentioning

confidence: 99%

Wet‐wrap therapy combined with compound glycyrrhizin and oral antihistamines as a therapy option for two cases of papuloerythroderma of ofuji

Lin

Chen

2022

Dermatologic Therapy

View full text Add to dashboard Cite

Papuloerythroderma of Ofuji (PEO) is a rare erythroderma with "deckchair" sign, and there is no specific treatment yet. Here, we present two cases of PEO, which are responsive to wet-wrap therapy (WWT) combined with Compound Glycyrrhizin and oral antihistamines.Case one, a 72-year-old Chinese male who had generalized pruritic rashes for 1 month. He had cerebrovascular stenosis for 4 years.Dermatological examination showed a wide range of erythema, covering more than 80% of the body surface, which was characterized by the solid and flat-topped papules except for the skin folds, presented as the "deck-chair" sign (Figure 1A), combined with palmoplantar keratoderma (Figure 1D). Laboratory tests showed leucocytosis (15.34 Â 10 9 /L), eosinophilia (18.3%; 2.8 Â 10 9 /L), and IgE (466.6 IU/ml). The complete screening for internal malignancy was unrevealing. Skin biopsy showed epidermal hypertrophy, and infiltration of perivascular inflammatory cells in the superficial dermis, consisting of lymphocytes, histiocytes, and eosinophils (Figure 1F,G).Case two, an 85-year-old Chinese male who had generalized pruritic rashes on the trunk after a liver cancer operation 2 years ago, and the lesions spread to the whole body for 3 months. He had hypertension and hyperlipemia for 20 years. The clinical manifestation (Figure 1H) was similar to case one. Laboratory tests showed eosinophilia (11.5%, 0.76 Â 10 9 /L), IgE (763.0 IU/ml), and ANA (1:80). The patient was followed up for more than 2 years without recurrence. They all denied medical history of skin diseases and lymphadenopathy.Treatment protocol: patients were treated with WWT (2 h, BID) for 1 week (Figure 1J). From day 8, the patients used topical halometasone (BID) without WWT. Compound Glycyrrhizin (40 ml, ivgtt, QD) F I G U R E 1 Skin lesions of the trunk (A) and the palm (D) before the treatment of case one, showed a wide range of erythema with the "deckchair" sign and palmoplantar keratoderma. Skin lesions of case one at 3 days after the treatment (B) and 21 days after the treatment (C). Dermoscopic examination of papules of case one showed multiple red dots, surrounded by whitish halos (E). Histopathology of skin lesions of case one: epidermal hyperplasia; some inflammatory cells, including lymphocytes, histiocytes, and eosinophils were present in the dermis, with prominent perivascular infiltration (HE staining, F: 100Â; G: 400Â). Clinical manifestations of case two before the treatment (H) and 7 days after the treatment (I). Case one with WWT (J). WWT used 0.05% Halometasone cream (Ao Neng ® . Batch No. 1601508). Patients applied Halometasone cream (Daily dose: 30 g) on the lesions first, and then used Vaseline jelly (Daily dose: 100 g). After that, a set of the cotton longsleeved sweatshirts and pants, were soaked in warm water, squeezed dry, and worn by the patients. This set of damp clothing was overlaid with a second, dry set of cotton clothing, lasting for 2 h, and adjusted the course of treatment was according to the condition. WWT, Wet-wrap therapy.

show abstract