Use of Becaplermin for nondiabetic ulcers: pyoderma gangrenosum and calciphylaxis.

Abstract:

:Large difficult to heal ulcers of various etiologies carry a high morbidity and mortality rate. Becaplermin is a recombinant platelet-derived growth factor approved for treatment of diabetic ulcers. In this two-case series, we report the use of becaplermin in the treatment of ulcers due to (i) calciphylaxis, an often fatal condition resulting from systemic calcification and thrombosis of vessels and (ii) pyoderma gangrenosum (PG), a neutrophilic dermatosis. We also report that topical collagenase worsened PG ulcers, consistent with pathergy. Becaplermin can be used to help treat ulcers resulting from calciphylaxis and PG. These encouraging results lend support for the utilization of becaplermin in the treatment of nondiabetic chronic ulcers of various etiologies.

journal_name

Dermatol Ther

journal_title

Dermatologic therapy

authors

Twu O,Mednik S,Scumpia P,Doaty S,Worswick S

doi

10.1111/dth.12318

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

104-8

issue

2

eissn

1396-0296

issn

1529-8019

journal_volume

29

pub_type

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