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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A White Layer Around The Wounded Area

Our friend got a deep cut between his toes and cleaned it, put clear ointment on it and has had it bandaged for 1 week/kept it out of water etc. He looked at it today and there is a white layer across the wounded area, no blood. He washed it with soap and water (didn t scrub it) and the white is still there. Should he use a q-tip and rubbing alcohol directly on the white stuff to get it off? It doesn t appear swollen and isn t red.
Mon, 22 Sep 2014
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Internal Medicine Specialist,  's  Response
Hi,

Thank you for your query. I can understand your concerns.
It seems that your wound is healing and the white layer is fibrinous slough composed of fibrin and serum containing white cells and proteins. This layer gets thicker to protect the wound from getting dry. Wounds heal by filling in from the bottom.
Clean your wound with antibacterial solutions and not with soap & water and then apply the antibacterial ointment (eg mupirocin topical ) & cover with a non-adherent dressing changing it every other day. The white layer will eventually be reabsorbed as new tissue fills in the wound






Regards

Dr. T.K. Biswas
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Suggest Treatment For A White Layer Around The Wounded Area

Hi, Thank you for your query. I can understand your concerns. It seems that your wound is healing and the white layer is fibrinous slough composed of fibrin and serum containing white cells and proteins. This layer gets thicker to protect the wound from getting dry. Wounds heal by filling in from the bottom. Clean your wound with antibacterial solutions and not with soap & water and then apply the antibacterial ointment (eg mupirocin topical ) & cover with a non-adherent dressing changing it every other day. The white layer will eventually be reabsorbed as new tissue fills in the wound Regards Dr. T.K. Biswas