Pyoderma Gangrenosum Improved with Dapsone and Prednisone: A Case Report.

Pyoderma gangrenosum is a rare ulcerative condition that poses diagnostic and therapeutic challenges. Diagnosis and appropriate management are often delayed due to its rarity and the presence of numerous clinical variants. In this case report, the authors present the case of a 36-year-old man who ha...

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Published in:Advances in Skin & Wound Care Vol. 38; no. 3; pp. 165 - 168
Main Authors: Merilleno, Arbie Sofia P., Ang-Tiu, Charlene Marie
Format: case study pictorial Journal Article
Published: Lippincott Williams & Wilkins Apr2025
Online Access:View this record in EBSCOhost
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      dt: Apr2025
      vid: 38
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Pyoderma Gangrenosum Improved with Dapsone and Prednisone: A Case Report.
      aug:
        au:
          Merilleno, Arbie Sofia P.
          Ang-Tiu, Charlene Marie
        affil: Arbie Sofia P. Merilleno, MD, DPDS, is an Inflammatory Disease Fellow, University of Toronto, Ontario, Canada
      sug:
        subj:
          Pyoderma Gangrenosum Diagnosis
          Pyoderma Gangrenosum Drug Therapy
          Dapsone Administration and Dosage
          Dapsone Therapeutic Use
          Prednisone Administration and Dosage
          Prednisone Therapeutic Use
          Antiinfective Agents Therapeutic Use
          Drug Therapy, Combination Methods
          Rare Diseases
          Male
          Adult
          Skin Ulcer Etiology
          Dermatology
          Inflammation Complications
          Treatment Outcomes
          Resource-Limited Settings
          Adrenal Cortex Hormones Administration and Dosage
          Administration, Oral
          Adult: 19-44 years
          Male
      ab: Pyoderma gangrenosum is a rare ulcerative condition that poses diagnostic and therapeutic challenges. Diagnosis and appropriate management are often delayed due to its rarity and the presence of numerous clinical variants. In this case report, the authors present the case of a 36-year-old man who had long-standing and nonhealing ulcers that did not respond to multiple antibiotics and serial wound debridement. The patient was promptly initiated on oral corticosteroids and dapsone as an adjunctive steroid agent. After 6 months, the patient reported complete resolution of the lesions. This rare case underscores the potential value of combining prednisone and dapsone as a treatment option for pyoderma gangrenosum, particularly in resource-limited settings.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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