Pyoderma Gangrenosum in Two Successive Pregnancies Complicating Caesarean Wound

Pyoderma gangrenosum (PG) is a rare ulcerative cutaneous disorder with tendency to recur in the injured area. Though most of the time is associated with chronic systemic conditions, it can occur in isolation and can be a diagnostic dilemma. The aetiology is poorly understood. The diagnosis is based...

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Main Authors: Sapna Vinit Amin, Neha Bajapai, Ashwini Pai, Sunanda Bharatnur, Shripad Hebbar
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/654843
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author Sapna Vinit Amin
Neha Bajapai
Ashwini Pai
Sunanda Bharatnur
Shripad Hebbar
author_facet Sapna Vinit Amin
Neha Bajapai
Ashwini Pai
Sunanda Bharatnur
Shripad Hebbar
author_sort Sapna Vinit Amin
collection DOAJ
description Pyoderma gangrenosum (PG) is a rare ulcerative cutaneous disorder with tendency to recur in the injured area. Though most of the time is associated with chronic systemic conditions, it can occur in isolation and can be a diagnostic dilemma. The aetiology is poorly understood. The diagnosis is based on clinical features and excluding other causes of skin ulcers, as it does not have characteristic histopathology or laboratory findings. Lesions can develop after surgery, after trauma or de novo. We are reporting a 32-year-old pregnant lady with two previous instances of pyoderma gangrenosum in the previous pregnancy, who in postoperative period following caesarean section developed the same condition for the third time. She responded well to local wound care, oral Prednisolone, and Dapsone and made a good recovery. Pregnancy being an immunologically altered status can play a role in development of pyoderma gangrenosum and one should always rule out its possibility when there is a delayed wound healing.
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-923c37a51f114e8ca28eeefb298dca6f2025-02-03T01:20:37ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/654843654843Pyoderma Gangrenosum in Two Successive Pregnancies Complicating Caesarean WoundSapna Vinit Amin0Neha Bajapai1Ashwini Pai2Sunanda Bharatnur3Shripad Hebbar4Department of Obstetrics and Gynaecology, Kasturba Medical College, Manipal University, Manipal 576 104, IndiaDepartment of Obstetrics and Gynaecology, Kasturba Medical College, Manipal University, Manipal 576 104, IndiaDepartment of Obstetrics and Gynaecology, Kasturba Medical College, Manipal University, Manipal 576 104, IndiaDepartment of Obstetrics and Gynaecology, Kasturba Medical College, Manipal University, Manipal 576 104, IndiaDepartment of Obstetrics and Gynaecology, Kasturba Medical College, Manipal University, Manipal 576 104, IndiaPyoderma gangrenosum (PG) is a rare ulcerative cutaneous disorder with tendency to recur in the injured area. Though most of the time is associated with chronic systemic conditions, it can occur in isolation and can be a diagnostic dilemma. The aetiology is poorly understood. The diagnosis is based on clinical features and excluding other causes of skin ulcers, as it does not have characteristic histopathology or laboratory findings. Lesions can develop after surgery, after trauma or de novo. We are reporting a 32-year-old pregnant lady with two previous instances of pyoderma gangrenosum in the previous pregnancy, who in postoperative period following caesarean section developed the same condition for the third time. She responded well to local wound care, oral Prednisolone, and Dapsone and made a good recovery. Pregnancy being an immunologically altered status can play a role in development of pyoderma gangrenosum and one should always rule out its possibility when there is a delayed wound healing.http://dx.doi.org/10.1155/2014/654843
spellingShingle Sapna Vinit Amin
Neha Bajapai
Ashwini Pai
Sunanda Bharatnur
Shripad Hebbar
Pyoderma Gangrenosum in Two Successive Pregnancies Complicating Caesarean Wound
Case Reports in Obstetrics and Gynecology
title Pyoderma Gangrenosum in Two Successive Pregnancies Complicating Caesarean Wound
title_full Pyoderma Gangrenosum in Two Successive Pregnancies Complicating Caesarean Wound
title_fullStr Pyoderma Gangrenosum in Two Successive Pregnancies Complicating Caesarean Wound
title_full_unstemmed Pyoderma Gangrenosum in Two Successive Pregnancies Complicating Caesarean Wound
title_short Pyoderma Gangrenosum in Two Successive Pregnancies Complicating Caesarean Wound
title_sort pyoderma gangrenosum in two successive pregnancies complicating caesarean wound
url http://dx.doi.org/10.1155/2014/654843
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