Pyoderma gangrenosum in pregnancy: a case with unusual presentat

Authors

  • Sudip Das
  • Loknath Ghoshal
  • Suchibrata Das
  • Aritra Sarkar

DOI:

https://doi.org/10.66344/jpad.24.4.2014.228

Keywords:

Pyoderma gangrenosum, pregnancy, intralesional steroid

Abstract

Pyoderma gangrenosum (PG) is an uncommon idiopathic chronic ulcerative condition, clinically characterized by initial small pustules which develop into ulcers with typical undermined borders with violaceous hue. In most cases, PG is associated with systemic diseases like inflammatory bowel disease, inflammatory polyarthritis and hematological disorders as paraproteinemia and leukemias. Diagnosis is difficult, mostly resting on the exclusion of other similar conditions, due to lack of pathognomonic histological features. We describe a case of PG in pregnancy not only for the rarity of the association, but also because of some unusual presenting features. We treated the patient by intralesional steroid injection and topical steroid application; the ulcers healed within a month. 

References

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Powell FC, Su WP, Perry HO. Pyoderma gangrenosum: classification and management. J Am Acad Dermatol. 1996;34:395-409.

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Callen JP. Pyoderma gangrenosum: a comparison of typical and atypical forms with an emphasis on time to remission; case review of 86 patients from 2 institutions. Medicine. 2000;79:37-46.

Miller L, Yentzer BA, Clark A, et al. Pyoderma gangrenosum: a review and update on new therapies. J Am Acad Dermatol. 2010;62:646-54.

Wollina U, Haroske G. Pyoderma gangrenosum. Curr Opin Rheumatol. 2011;23:50-6.

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Published

2016-12-02

How to Cite

1.
Das S, Ghoshal L, Das S, Sarkar A. Pyoderma gangrenosum in pregnancy: a case with unusual presentat. J Pak Assoc Dermatol [Internet]. 2016Dec.2 [cited 2026May1];24(4):358-60. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/228

Issue

Vol. 24 No. 4 (2014): October - December

Section

Case Reports

License

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Authors retain the copyright to their work and grant the 'Journal of Pakistan Association of Dermatologists (JPAD)' the right of first publication under a Creative Commons Attribution 4.0 International (CC BY 4.0) license. This license allows others to share, adapt, and reuse the work for any purpose, including commercial use, as long as appropriate credit is given to the original authors and the journal.

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