Abstract
A blood-kaolin-penicillin-paste was used in the treatment of 19 cases of varicose and trophic leg ulcers with and without chronic eczema. In two cases the paste failed to effect a cure. A thorough and exhaustive treatment, however, could not be carried out here. Superficial and deep ulcerations were benefited by the blood paste, whereas chronic varicose eczema became aggravated. Stimulation of granulations, promotion of epithelization, reduction of infection and a pain-relieving effect upon irritable ulcers were evident. The paste can be easily made, using the patient's own blood, adding kaolin ana partes and 1 2 cc. of penicillin (5,000 units per cc.) to 10 cc. paste. The b-k-p paste may be considered as a valuable adjunct in the treatment of varicose ulcers. It seems to exert a nutritional and protective effect upon the ulcerations. In the therapy, however, the reduction of the venous backflow by ligation, sclerotherapy and supportive bandages must not be neglected.
Published Version
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