Citric acid treatment of large non-healing ulcer in a patient with chronic liver disease
Sağ bacağınde iyileşmeyen venöz ülseri olan 45 yaşında erkek hasta bildirilmiştir. Hasta bir çok ek hastalığı ile birlikte kronik karaciğer hastalığına sahipti. Ülser bir aydan fazla süredir klasik tedvilere cevap vermiyordu. İyileşmeyen bu venöz ülser basit olarak %3'lük sitrik asit ile bir ay hergün uygulandı. Herhangi bir komplikasyon gözlenmeden yara iyleşti.
Kronik karaciğer hastalığı olan bir hastada iyileşmeyen venöz ülser tedavisinde sitrik asit
A case of 45-years-old male patient with a large non-healing ulcer over right leg is reported. Patient was a known case of chronic liver disease and was having multiple underlying problems. The ulcer was not responding to conventional treatment for more than one month. This non-healing ulcer was treated simply by local application of three percent citric acid ointment every day for a month, which led to complete healing of the ulcer without any complications.
___
- 1. Snyder RJ. Treatment of nonhealing ulcers with al- lografts. Clin Dermatol 2005;23:388-95.
- 2. Sibbald RG, Woo KY, Queen D. Wound bed preparation and oxygen balancea new component? Int Wound J2007; 4 Suppl:9-17.
- 3.Schultz GS, Sibbald RG, falanga V, et al. Wound bed preaparation:a systematic approach to wound manage- ment. Wound Repair Regen 2003; 11:S1-28.
- 4. Carlson MA. Acute wound failure. Surg Clin N Am 1997; 77: 606-36.
- 5. Steed SL. Woundhealing trajectories. Surg Clin N Am 2003;83:547-55.
- 6. Williams JZ, Barbul A. Nutrition and Wound healing. Surg Clin N Am 2003;83:571-96.
- 7. Nagoba BS, Gandhi RC, Wadher BJ, Rao Ak, et al. A simple and effective approach for the treatment of diabetic foot ulcers with different Wagner grades. Int Wound J 2010; 7:1538.
- 8. Nagoba BS, Wadher BJ and Chandorkar AG. Citric acid treatment of non-healing ulcers in leprosy patients. British J Dermatology 2002;146:1101.
- 9. Nagoba BS, Gandhi RC, Hartalkar AR, Wadher BJ, Selkar SP. Simple, effective and affordable approach for the treatment of burns infections. Burns 2010; 36:1242-7.
- 10. Nagoba BS, Wadher BJ, Rao AK, et al. Simple and effec- tive approach for the treatment of chronic wound infec- tions caused by multiple antibiotic resistant Escherichia coli. J Hosp Infect 2008;69:17780.
- 11. Nagoba BS, Gandhi RC, Wadher BJ,Potekar RM, Kolhe SM. Microbiological, histopathological and clinical changes in chronic wounds after citric acid treatment. J Med Microbiol 2008;57:681-2.