Pyoderma gangraenosum after cesarean delivery.

Objective: Presentation of pyoderma gangraenosum (PG) as an important differential diagnosis for wound healing disorders after cesarian section. Adequate therapeutic regimens are discussed. Case report: A 39-year-old woman developed a PG after cesarean section. A treatment with prednisolone and cycl...

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Publicado en:Clinical Medicine: Dermatology no. 2; pp. 23 - 27
Autores principales: Pauser S, Goerge T, Eickelmann M, Gaubitz M, Luger TA, Steinhoff M
Formato: case study pictorial Journal Article
Publicado: Sage Publications Inc. 2009
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Pyoderma gangraenosum after cesarean delivery.
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        au:
          Pauser S
          Goerge T
          Eickelmann M
          Gaubitz M
          Luger TA
          Steinhoff M
        affil: Department of Dermatology, University Hospital Muenster, Muenster, Germany
      sug:
        subj:
          Cyclosporine Administration and Dosage
          Prednisolone Administration and Dosage
          Pyoderma Gangrenosum Diagnosis
          Adult
          Cesarean Section
          Dapsone
          Diagnosis, Differential
          Female
          Postnatal Period
          Adult: 19-44 years
          Female
      ab: Objective: Presentation of pyoderma gangraenosum (PG) as an important differential diagnosis for wound healing disorders after cesarian section. Adequate therapeutic regimens are discussed. Case report: A 39-year-old woman developed a PG after cesarean section. A treatment with prednisolone and cyclosporine A was started. Within three days of treatment, the inflammatory process was significantly reduced. Serological inflammatory markers and fever dropped to normal levels. Due to the development of a pronounced arterial hypertension, dapsone was additionally applied to reduce glucocorticoids and cyclosporine A doses. Rapid normalisation of blood pressure without aggravation. Modern wound dressings helped to rapidly establish granulation and reepithelialization. The immense ulceration completely healed after six months of therapy. Conclusion: PG is a potentially lethal disease and must be considered as an important differential diagnosis after abdominal surgery and cesarean section. Modern systemic and topical treatments help to treat PG successfully.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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