Pyoderma gangrenosum following an unplanned caesarean section: a patient revisited
Autor: | Richard Michael Azurdia, Waseem Ghumra, Adam Gold |
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Rok vydání: | 2021 |
Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Wound Breakdown Case Report 030207 dermatology & venereal diseases 03 medical and health sciences Wound care 0302 clinical medicine Obstetrics and gynaecology Adrenal Cortex Hormones Pregnancy Negative-pressure wound therapy medicine Humans Caesarean section 030219 obstetrics & reproductive medicine Cesarean Section business.industry Emergency Caesarean Section Skin Transplantation General Medicine Ciclosporin medicine.disease Pyoderma Gangrenosum Surgery Female business Negative-Pressure Wound Therapy Pyoderma gangrenosum medicine.drug |
Zdroj: | BMJ Case Rep |
ISSN: | 1757-790X |
DOI: | 10.1136/bcr-2020-238702 |
Popis: | A 35-year-old woman was referred urgently to the dermatology department because of significant wound breakdown 3 weeks following an emergency caesarean section. Examination revealed a full thickness, undermined ulcer spanning the width of the patient’s caesarean scar, exposing the patient’s uterus. Clinical appearances were consistent with pyoderma gangrenosum. The patient has a history of complicated pyoderma gangrenosum, having undergone skin grafts 14 years prior, for ulcers on her lower legs. That episode was the subject of a case report, published in the BMJ, in 2007. On this occasion, the patient was treated with oral corticosteroids, and ciclosporin based on its efficacy during her previous episode, which in conjunction with negative pressure wound therapy, resulted in complete re-epithelialisation of her ulcer within 6 months. |
Databáze: | OpenAIRE |
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