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Figure 114.1
Patient with a urostomy for bladder carcinoma who has reacted to the tape border of a two‐piece appliance on a 5‐day skin test (right of picture). She...
Figure 114.5
(a) Psoriasis affecting an ileostomy in a woman with Crohn disease; this was confirmed histologically. She had a history suggestive of scalp psoriasis...
Figure 114.9
Fistulating Crohn disease affecting an ileostomy in a teenage girl. The original stoma on the left was partly destroyed by the inflammatory process an...
Figure 114.13
Severe pyoderma gangrenosum (PG) in a middle‐aged man with acute onset of Crohn disease requiring a pan‐proctocolectomy and ileostomy. He received ada...
Figure 114.17
A short colostomy demonstrating faecal dermatitis. The patient also has a persistent reaction to the tape border of her appliance (outer ring of derma...
Figure 114.21
Pain is occasionally prominent and sometimes severe as in this young woman with an ileostomy for ulcerative colitis. Treatment is as for Figure .
Figure 114.2
Candida infection presenting as an itchy, non‐follicular pustular rash affecting an immunosuppressed woman with an ileostomy for Crohn disease.
Figure 114.6
(a) Lichen sclerosus affecting a urostomy in a woman with a history of genital lichen sclerosus presenting some years prior to stoma formation for bla...
Figure 114.10
(a) Crohn ulcer near a recently formed ileostomy. The ulceration was painful and slowly expanded. (b) Crohn ulceration affecting a colostomy site. A b...
Figure 114.14
A short ileostomy buried in a skin fold near the umbilicus. This stoma was undertaken as an emergency procedure and siting is suboptimal. The eroded d...
Figure 114.18
Idiopathic dermatitis affecting the whole skin covered by the stoma barrier. The patient did not develop a reaction to the appliance when it was worn ...
Figure 114.22
Ileal metaplasia affecting a longstanding urostomy and covering a wide area of skin. This was treated with laser resurfacing.
Figure 114.3
Streptococcal cellulitis complicating healing pyoderma gangrenosum in a 65‐year‐old woman with inflammatory bowel disease.
Figure 114.7
(a) Nicorandil ulceration affecting an ileostomy for ulcerative colitis. (b) This healed completely within 6 weeks of stopping the drug.
Figure 114.11
Pyoderma gangrenosum (PG) affecting an ileostomy in a teenage girl with a permanent end‐ileostomy for Crohn disease. There is active PG at the 5 to 7 ...
Figure 114.15
A proximal colostomy with liquid effluent that leaked onto the skin because the stoma is short. This results in an eroded faecal dermatitis.
Figure 114.19
(a) Inflammatory polyps affecting a colostomy where the skin has been exposed to faeces. (b) Where these bleed, proliferate, cause pain or otherwise r...
Figure 114.23
A short and buried ileostomy where leaks are inevitable. The mottled appearance of the hyperkeratotic papules is typical.
Figure 114.4
Synergic gangrene affecting a recently formed ileostomy. The patient required surgical debridement in addition to systemic antibiotics.
Figure 114.8
(a) Localized bullous pemphigoid affecting a large colostomy in a 90‐year‐old man. At presentation denuded areas of skin were seen, but there were no ...
Figure 114.12
(a) Pyoderma gangrenosum (PG) affecting a permanent ileostomy in a man with a history of ulcerative colitis. The perforated edge is typical and result...
Figure 114.16
A highly contractile ileostomy that varies in length from flush (pictured) to 3 cm long.
Figure 114.20
Granulation tissue with bowel metaplasia affecting an ileostomy. These lesions cause bag failures, especially by bleeding. Because of this, and in par...
Figure 114.24
(a) Chronic papillomatous dermatitis (CPD) and irritant dermatitis associated with a leaking urostomy. The papules are typical. (b) These may prolifer...