title: Nicorandil-associated para-stomal ulceration: Case series.
abstract: Nicorandil is a vasodilator used to control severe angina. It has been associated with oral and anal ulceration that resolves upon withdrawal of the drug. We report a series of four patients, all of whom were receiving nicorandil therapy and developed nonspecific para-stomal ulcerations of similar clinical and histological appearance. All ulcers healed on withdrawal of nicorandil with no relapse. To the best of our knowledge, nicorandil-associated para-stomal ulcers have not been reported before. It is imperative to be aware of this association to prevent the persistence of these extremely painful ulcerations, and to avoid unnecessary and inappropriate interventions with substantial morbidity in a group of high-risk patients.
authors.affiliation: Diana, Princess of Wales Hospital, Grimsby, UK. aymonrazeq@yahoo.co.uk
authors.forename: Ayman S
authors.initials: AS
authors.lastname: Abdelrazeq
authors.forename: Carol
authors.initials: C
authors.lastname: Owen
authors.forename: Louise
authors.initials: L
authors.lastname: Smith
authors.forename: John G
authors.initials: JG
authors.lastname: McAdam
authors.forename: Henry J
authors.initials: HJ
authors.lastname: Pearson
authors.forename: Stephen H
authors.initials: SH
authors.lastname: Leveson
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D020108:Nicorandil / Q000009:adverse effects*; D011183:Postoperative Complications / Q000139:chemically induced / Q000473:pathology; D012883:Skin Ulcer / Q000139:chemically induced* / Q000473:pathology; D054047:Surgical Stomas; D014665:Vasodilator Agents / Q000009:adverse effects*
chemical_list: D014665:Vasodilator Agents; D020108:Nicorandil