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Published on: March 14, 2025
Pyoderma gangrenosum induced by episiotomy
Angela Alani1, Muriel Sadlier1, Bart Ramsay1
1Dermatology Department, Limerick University Hospital, Limerick, Ireland.
Abstract:
We present a patient who developed genital ulceration within hours following episiotomy procedure during a normal vaginal delivery. This was initially treated by the gynaecology and medical team as cellulitis with no improvement. A diagnosis of pyoderma gangrenosum (PG) was made by the dermatology team 12 days later. On further investigation, she was found to be hepatitis C positive. We report this case to highlight the phenomenon of pathergy and frequent misdiagnosis of PG by other medical teams. When a postsurgical wound is not healing despite relevant systemic treatment, the clinician should suspect PG as an early diagnosis and treatment is crucial.
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