Postoperative pyoderma gangrenosum of Cullen

The clinical picture in pyoderma gangrenosum varies but a typical medical history with resistance to antimicrobial treatment and worsening or first manifestation of disease because of surgical procedures are indications of this diagnosis. We describe the course of a woman patient who had a pyoderma...

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Bibliographic Details
Published in:Der Unfallchirurg 2007-11, Vol.110 (11), p.973
Main Authors: Valesky, E M, Spieth, K, Beier, C, Wolter, M, Kaufmann, R
Format: Article
Language:ger
Subjects:
Aged
Biopsy
Cyclosporine - administration & dosage
Diagnosis, Differential
Drug Therapy, Combination
Female
Hip Fractures - surgery
Humans
Methylprednisolone - administration & dosage
Postoperative Complications - diagnosis
Postoperative Complications - drug therapy
Postoperative Complications - pathology
Pyoderma Gangrenosum - diagnosis
Pyoderma Gangrenosum - drug therapy
Pyoderma Gangrenosum - pathology
Skin - pathology
Surgical Wound Infection - diagnosis
Surgical Wound Infection - drug therapy
Surgical Wound Infection - pathology
Tacrolimus - administration & dosage
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Summary:The clinical picture in pyoderma gangrenosum varies but a typical medical history with resistance to antimicrobial treatment and worsening or first manifestation of disease because of surgical procedures are indications of this diagnosis. We describe the course of a woman patient who had a pyoderma gangrenosum for more than 1.5 years. After confirming the diagnosis an immunomodulating therapy was initiated until complete remission of the ulcers. Differential diagnosis and different clinicopathologic forms of pyoderma gangrenosum are discussed and an overview of the association with internal diseases is provided.
ISSN:0177-5537
DOI:10.1007/s00113-007-1283-x