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Farm Hosp ; 30(5): 304-8, 2006.
Article in Spanish | MEDLINE | ID: mdl-17166065

ABSTRACT

INTRODUCTION: Prolidase deficiency is a rare disease. Lower leg recalcitrant ulcerations are the most characteristic symptoms. CASE REPORT: Woman diagnosed of prolidase deficiency with leg recalcitrant and infected ulcerations. Dermatology service solicits a proline and glycline containing ointment after failing other topical treatment and a skin grafting. After initiation of treatment, ulcerations improved partially. FORMULA DESCRIPTION: According to "Real Decreto 175/2001, de 23 de febrero", Pharmacy service draws up an elaboration guide and a patient information leaflet of a proline 5%-glycine 5% water emulsive ointment. DISCUSSION: Topical application of a glycine-proline ointment is an alternative for the treatment of recalcitrant ulcerations and it has resulted in variable response. In our patient it has been effective, with a partial improvement of leg ulcerations and a decrease in admissions due to over infection.


Subject(s)
Amino Acid Metabolism, Inborn Errors/drug therapy , Dipeptidases/deficiency , Glycine/therapeutic use , Proline/therapeutic use , Administration, Topical , Amino Acid Metabolism, Inborn Errors/enzymology , Female , Glycine/metabolism , Humans , Leg Ulcer/drug therapy , Leg Ulcer/enzymology , Middle Aged , Ointments/administration & dosage , Proline/metabolism , Secondary Prevention , Treatment Outcome
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