title: A therapeutic approach to postphlebitic ulceration.
abstract: In recent years I have used a conservative regimen as an office procedure for healing postphlebitic ulceration. The regimen--oral antibiotics, oral zinc sulphate, topical gentian violet solution, sterile Telfa dressings, a synthetic sponge pressure pad, support of the lower leg by a Rowden Foote elastic bandage--led to complete resolution of the lesions except where infection with Pseudomonas was present. Even then healing was achieved, although it entailed repeated and prolonged intravenous administration of sodium carbenicillin and admission to hospital. Of 28 patients treated all were healed, 2 after Pseudomonas had been eradicated.
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D007871:Leg Ulcer / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D009779:Occlusive Dressings; D010689:Phlebitis / Q000150:complications*; D015032:Zinc / Q000627:therapeutic use
chemical_list: D015032:Zinc