oa Wound Healing Southern Africa - Letter to the Editor : case report
Chemical burns to the perineum from podophyllin use. We recently managed a 37-year-old man who had made use of podophyllin, prescribed by his general practitioner, to eradicate perianal condylomata. After two applications and removal after the appropriate duration, the patient became frustrated with its apparent inefficacy, and applied a solution by spray over his scrotum and perineum. He presented to the emergency department three days after application, and was referred to our service after a period of observation by the internal medicine service. The patient was clinically well, but in significant pain. A thorough examination was only possible under sedation, during which the remaining adherent solution was removed, and the areas involved assessed and covered with a dressing of Jelonet? and Polyderm?. The extent of the scrotal and perianal cutaneous injuries is demonstrated in Figures 1 and 2. The clinical examination and blood work were otherwise unremarkable.
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