2010 Volume 120 Issue 14 Pages 3097-3101
“Stomahesive” powder is used as a skin-care product for the management of stomas. We successfully treated a 3-month-old boy who had an intractable skin ulcer on his buttocks with this skin-protection powder. His ulcer emerged on the left sacral region where he had an erythematous patch from birth. Although he had been treated with various ointments, the ulcer rapidly expanded after the onset of diarrhea. We implaced a urine catheter and started daily application of the skin-protection powder “Stomahesive” on the ulcer after washing. A gel formed from the powder and wound discharge covered the wound and moistened it like a hydrocolloid dressing and prevented skin irritation from the feces due to its pH buffering system and absorption of excess water. After each evacuation, we removed the feces and gel and then re-applied the skin-protection powder without re-washing the wound. The “Stomahesive” powder may be considered as one of the useful therapeutic option for intractable ulcers, especially on the buttocks or vulva, where there is often irritation from feces or vaginal discharge.