%0 Journal Article
%T Pyoderma Gangraenosum after Cesarean Delivery
%A Sylvia Pauser
%A Tobias Goerge
%A Mareike Eickelmann
%A Markus Gaubitz
%A Thomas A. Luger and Martin Steinhoff
%J Clinical Medicine Insights: Dermatology
%D 2012
%I 
%X 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.
%U http://www.la-press.com/case-report-pyoderma-gangraenosum-after-cesarean-delivery-article-a1563