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Intravaginal Application of Topical Black Salve for High-Grade Cervical Intraepithelial Neoplasia

Background: Black salve, or sanguinarine, is a topical escharotic agent that has been used by patients for homeopathic ablation of epithelial dysplasia, including cervical intraepithelial neoplasia. Case Report: A 33-year-old female presented to the obstetric and gynecologic clinic for management of...

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Autores principales: Ayoub, Peter J., Parise, Angela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academic Division of Ochsner Clinic Foundation 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755560/
https://www.ncbi.nlm.nih.gov/pubmed/33408587
http://dx.doi.org/10.31486/toj.19.0044
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author Ayoub, Peter J.
Parise, Angela
author_facet Ayoub, Peter J.
Parise, Angela
author_sort Ayoub, Peter J.
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description Background: Black salve, or sanguinarine, is a topical escharotic agent that has been used by patients for homeopathic ablation of epithelial dysplasia, including cervical intraepithelial neoplasia. Case Report: A 33-year-old female presented to the obstetric and gynecologic clinic for management of a missed abortion. At the time of presentation, she admitted to the use of topical black salve for treatment of cervical intraepithelial neoplasia 2 years prior. Speculum examination revealed a stenotic cervix that appeared flush against the vaginal cuff. Hysteroscopy performed 4 months later after the patient developed new oligomenorrhea revealed significant vaginal scarring with formation of a blind pouch that concealed the true cervix. Conclusion: Health care providers should be aware of homeopathic remedies trialed by patients on their own or as an alternative to recommended treatment. Such self-treatment may cause significant patient harm, such as scarring or deformity.
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spelling pubmed-77555602021-01-05 Intravaginal Application of Topical Black Salve for High-Grade Cervical Intraepithelial Neoplasia Ayoub, Peter J. Parise, Angela Ochsner J Case Reports and Clinical Observations Background: Black salve, or sanguinarine, is a topical escharotic agent that has been used by patients for homeopathic ablation of epithelial dysplasia, including cervical intraepithelial neoplasia. Case Report: A 33-year-old female presented to the obstetric and gynecologic clinic for management of a missed abortion. At the time of presentation, she admitted to the use of topical black salve for treatment of cervical intraepithelial neoplasia 2 years prior. Speculum examination revealed a stenotic cervix that appeared flush against the vaginal cuff. Hysteroscopy performed 4 months later after the patient developed new oligomenorrhea revealed significant vaginal scarring with formation of a blind pouch that concealed the true cervix. Conclusion: Health care providers should be aware of homeopathic remedies trialed by patients on their own or as an alternative to recommended treatment. Such self-treatment may cause significant patient harm, such as scarring or deformity. Academic Division of Ochsner Clinic Foundation 2020 2020 /pmc/articles/PMC7755560/ /pubmed/33408587 http://dx.doi.org/10.31486/toj.19.0044 Text en ©2020 by the author(s); Creative Commons Attribution License (CC BY) http://creativecommons.org/licenses/by/4.0/legalcode ©2020 by the author(s); licensee Ochsner Journal, Ochsner Clinic Foundation, New Orleans, LA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (creativecommons.org/licenses/by/4.0/legalcode) that permits unrestricted use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Case Reports and Clinical Observations
Ayoub, Peter J.
Parise, Angela
Intravaginal Application of Topical Black Salve for High-Grade Cervical Intraepithelial Neoplasia
title Intravaginal Application of Topical Black Salve for High-Grade Cervical Intraepithelial Neoplasia
title_full Intravaginal Application of Topical Black Salve for High-Grade Cervical Intraepithelial Neoplasia
title_fullStr Intravaginal Application of Topical Black Salve for High-Grade Cervical Intraepithelial Neoplasia
title_full_unstemmed Intravaginal Application of Topical Black Salve for High-Grade Cervical Intraepithelial Neoplasia
title_short Intravaginal Application of Topical Black Salve for High-Grade Cervical Intraepithelial Neoplasia
title_sort intravaginal application of topical black salve for high-grade cervical intraepithelial neoplasia
topic Case Reports and Clinical Observations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755560/
https://www.ncbi.nlm.nih.gov/pubmed/33408587
http://dx.doi.org/10.31486/toj.19.0044
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