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Related Experiment Videos

Pyoderma gangrenosum in a battered child.

Mustafa Keskin1, Zekeriya Tosun, Canan Ucar

  • 1Plastic and Reconstructive Surgery Department, Selcuk University, Meram Medical School, Konya, Turkey. drmkeskin@hotmail.com

Annals of Plastic Surgery
|July 25, 2006
PubMed
Summary

Pyoderma gangrenosum, a rare skin ulcer, can be triggered by trauma. This pediatric case highlights successful treatment with corticosteroids and skin grafting after physical assault.

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Area of Science:

  • Dermatology
  • Pediatric Medicine
  • Wound Healing

Background:

  • Pyoderma gangrenosum is a rare, challenging inflammatory skin ulcer.
  • Diagnosis and treatment remain difficult due to its uncommon nature.

Observation:

  • A pediatric case of pyoderma gangrenosum without systemic disease is presented.
  • The condition was triggered by physical trauma, specifically a physical assault.
  • Pathergy is a known factor in pyoderma gangrenosum pathogenesis.

Findings:

  • Systemic corticosteroid therapy effectively controlled the pyoderma gangrenosum.
  • A split-thickness skin graft from the thigh successfully covered the wound.
  • The donor site exhibited no healing complications.

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Implications:

  • This case is the first reported instance of pyoderma gangrenosum precipitated by physical assault.
  • It underscores the importance of considering trauma as a potential trigger in pediatric cases.
  • Successful management involves a combination of medical and surgical interventions.