title: Aerosol steroids for the treatment of peristomal mucocutaneous breakdown due to severe eczema.
abstract: BACKGROUND
  We describe a novel treatment of mucocutaneous peristomal junction breakdown in a patient with severe eczema using aerosol steroids, where conventional methods failed to achieve healing.
  
  
  METHODS
  Observation and photographic evidence showing resolution of severe peristomal eczema in a patient, in whom systemic steroids were contraindicated, using a topical aerosol steroid. We found complete resolution of peristomal eczema and symptoms within four weeks.
  
  
  CONCLUSIONS
  Topical aerosol steroids are better tolerated than alcohol based steroid preparations, achieve improved stoma appliance adherence in comparison to oil based steroid preparations and reduce systemic side effects in comparison to systemic oral steroids.
  
  
  CONCLUSIONS
  Aerosol steroids appear to be a safe and effective way to treat refractory peristomal eczema and may be of use in other peristomal inflammatory conditions including contact dermatitis.
authors.affiliation: Colorectal Surgery Department, University Hospital of South Manchester, Southmoor Road, Manchester M23 9LT, UK. Electronic address: jenicholson@doctors.org.uk.
authors.forename: J
authors.initials: J
authors.lastname: Nicholson
authors.affiliation: Colorectal Surgery Department, University Hospital of South Manchester, Southmoor Road, Manchester M23 9LT, UK.
authors.forename: S
authors.initials: S
authors.lastname: Sriskandarajah
authors.affiliation: Colorectal Surgery Department, University Hospital of South Manchester, Southmoor Road, Manchester M23 9LT, UK.
authors.forename: J
authors.initials: J
authors.lastname: Moore
authors.affiliation: Colorectal Surgery Department, University Hospital of South Manchester, Southmoor Road, Manchester M23 9LT, UK.
authors.forename: H
authors.initials: H
authors.lastname: Clouston
authors.affiliation: Colorectal Surgery Department, University Hospital of South Manchester, Southmoor Road, Manchester M23 9LT, UK.
authors.forename: K
authors.initials: K
authors.lastname: Telford
keywords: Aerosol steroids; Eczema; Inhaled steroids; Peristomal; Stoma