Management of anal furunculosis without Atopica

RE: Management of anal furunculosis without Atopica

David Scarff — Sun, 24 May 2020 09:20:33 GMT

Could the owners apply topical tacrolimus (protopic) to the area. I have had good results with the 0,.1% cream applied once daily, but might need to be clipped initially to allow application if it's becoming matted. Also, if anal sacs are in the affected area then removal may help to reduce the severity of the disease.

RE: Management of anal furunculosis without Atopica

Judith Joyce — Wed, 20 May 2020 13:11:19 GMT

In the. days before Atopica this was a more challenging disease to manage medically (and often surgically) and frequently surgery was indicated. Several modalities were suggested, I recall, with varying success and with variable underlying evidence. More recently some more intractable cases or those where longterm Atopica was not an option, did well with Atopic to reduce the size of lesions if possible followed by conventional surgery ? with anaal saculectomy in appropriate surgical hands.

I too tried prednisolone before surgery but only seemed to have some effect in mild cases and rarely curative on its own.

RE: Management of anal furunculosis without Atopica

David Bentley — Wed, 20 May 2020 13:00:26 GMT

You can try prednisolone but obviously loads of side effects. I have had some success in less severe cases with topical 1% tacrolimus (Protopic) twice daily.