TABLE 4

Treatment Options in the Management of Ulcerated IH

Wound CareAdjuvant Therapies
DressingsAntimicrobials
 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.