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TABLE 4

Treatment Options in the Management of Ulcerated IH

Wound CareAdjuvant Therapies
Dressings Antimicrobials 
 White petrolatum–impregnated gauze  Metronidazole gel 
 Nonadherent dressings (eg, Mepitel [Mölnlycke Health Care; Gothenburg, Sweden], Telfa [Covidien/Medtronic; Minneapolis, MN])  Mupirocin, gentamicin, bacitracin ointmentPain controlTopical 
 Hydrocolloid dressings (eg, DuoDERM [ConvaTec; Luxembourg])   Anesthetics (eg, lidocaine, benzocaine)Oral 
Topical agents   Acetaminophen with or without narcotics 
 White petrolatum, Aquaphor [Beiersdorf Inc.; Hamburg, Germany], Silver sulfadiazine (Silvadene; Monarch Pharmaceuticals; Bristol, TN) 
Other 
 Becaplermin gel 
 Topical timolol 
 PDL 
  Early excision 
  Oral propranolol or steroids 
Wound CareAdjuvant Therapies
Dressings Antimicrobials 
 White petrolatum–impregnated gauze  Metronidazole gel 
 Nonadherent dressings (eg, Mepitel [Mölnlycke Health Care; Gothenburg, Sweden], Telfa [Covidien/Medtronic; Minneapolis, MN])  Mupirocin, gentamicin, bacitracin ointmentPain controlTopical 
 Hydrocolloid dressings (eg, DuoDERM [ConvaTec; Luxembourg])   Anesthetics (eg, lidocaine, benzocaine)Oral 
Topical agents   Acetaminophen with or without narcotics 
 White petrolatum, Aquaphor [Beiersdorf Inc.; Hamburg, Germany], Silver sulfadiazine (Silvadene; Monarch Pharmaceuticals; Bristol, TN) 
Other 
 Becaplermin gel 
 Topical timolol 
 PDL 
  Early excision 
  Oral propranolol or steroids 

Adapted from ref 368.

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