I have just been phoned by a consultant dermatologist about the following
case. It seems to me to have been designed for discussion during Christmas
week, so I share it with the site hoping, as ever, to find a helpful
response.
The patient had a venous leg ulcer and venous dermatitis which was
responding to conventional therapy (compression bandaging and topical
steroids). In August, while on holiday in Cornwall, a nurse switch to a
"medicated bandage" and the lady had an allergic reaction which made the
dermatitis worse. On her returning home, she stopped her conventional
therapy and, for reasons not totally clear to our medical staff, applied a
bandage soaked in her dog's urine onto the ulcer for two days on two
occasions. She noticed an immediate improvement and the ulcer is now healed
and there is no dermatitis.
The dermatologists would have expected the healing process to have stopped
when the conventional treatment was stopped. They also would have expected
the healing to have taken longer than this had conventional treatment not
been stopped.
The dog is said to be very old and was not on any medication. (We don't
know much about the dog - breed, etc - but probably could find out, if that
was thought to be useful.)
The Dermatologist is interested to know if there any known healing compounds
likely to be present and a specimen of the dog's urine is available for any
colleagues who would like to try to find some.
Wishing you all a Very Merry Christmas and a Happy New Year.
Elliott Simpson
Deputy Clinical Director
Clinical Support Services Directorate
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