Related Experiment Videos
Surgical management of pyoderma gangrenosum: case report and review
M Alam1, M E Grossman, P I Schneiderman
1Department of Dermatology, College of Physicians and Surgeons, Columbia University, New York, New York, USA. muradalam@hotmail.com
Background:
Commonly used treatments for pyoderma gangrenosum are medical, with immunosuppressive agents employed most often.
Objective:
To report a case and discuss the indications for radical surgical treatment of pyoderma gangrenosum.
Methods:
Analysis of a case of Crohn's disease-associated pyoderma gangrenosum treated with immunosuppression followed by amputation, and a review of the literature on surgical management of pyoderma gangrenosum.
Results:
In unstable patients with intractable multiple medical problems, surgical treatment of pyoderma gangrenosum may be indicated by the existence of these life-threatening comorbidities. The recent literature suggests that surgical management of pyoderma gangrenosum may also be appropriate in other special circumstances.
Conclusions:
Surgical management, including amputation, may have a role in the management of pyoderma gangrenosum. Further research is needed to delineate precisely the circumstances and patient factors that are appropriate indications for such surgery.
Related Concept Videos
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Gastritis III: Clinical Manifestations and Management
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Acute Pyelonephritis II: Diagnostic Studies and Management
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Burn Injuries
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...