Single-use NPWT device with telemedical wound monitoring in the treatment of acne inversa in apregnant patient – case report

Kinga Zastawna,Tomasz Banasiewicz,Alicja Żalejko-Strychalska

doi:10.18487/npwtj.v6i2.51

Abstract

Acne inversa (AI) is a chronic inflammatory skindisease significantly impacting the patient’s quality of life.Management guidelines for acne inversa during pregnancy donot exist. We decided to use a single-use negative pressurewound therapy (PICO, Smith & Nephew) while managing apregnant patient with AI. Negative pressure wound therapy(NPWT) seemed to improve the patient’s condition, managingthe exudation, reducing edema, and improving local regeneration,as well as epithelialization. The method was also absolutelysafe for the fetus and feasible to conduct in the outpatientdepartment - what was of utmost importance for the patient.The telemedical monitoring of wound healing using mobiletechnologies seems to be gaining importance for patients andmedical practitioners. In the described case, we used the iWound(Polmedi, Poland) application in an outpatient setting.

Highlights

IntroductionA CNE inversa (hidradenitis suppurativa) is a chronic inflammatory skin disease, with a significant impact on quality of life.[1] The disorder is generally difficult to treat and in pregnant women.[2, 3] There are limited publications and guidelines delineating treatment of acne inversa during pregnancy
A CNE inversa is a chronic inflammatory skin disease, with a significant impact on quality of life.[1]
We present a case report of a 30-yearold, pregnant woman, with moderate acne inversa treated with Negative pressure wound therapy (NPWT)

Summary

Introduction

A CNE inversa (hidradenitis suppurativa) is a chronic inflammatory skin disease, with a significant impact on quality of life.[1] The disorder is generally difficult to treat and in pregnant women.[2, 3] There are limited publications and guidelines delineating treatment of acne inversa during pregnancy. We present a case report of a 30-yearold, pregnant woman, with moderate acne inversa treated with NPWT. We decided to use single-use negative pressure wound therapy (PICO), regarding the patient’s pregnancy. The local treatment of inflammation and reduction of septic condition was the main target of therapy. NPWT is as an effective and safe method in this type of wounds.[4, 5]

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Discussion

Conclusion