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Perineal pyoderma gangrenosum in pregnancy: A case report
Takako Ohmaru-Nakanishi1, Haruka Goto1, Miyako Maehara1
1Department of Obstetrics and Gynecology, Hamanomachi Hospital, Nagahama 3-1-1, Fukuoka, Japan 810-8539, Japan.
Case Reports in Women'S Health
|April 13, 2019
Summary
Pyoderma gangrenosum, a rare skin condition, can occur during pregnancy. This case highlights successful management and delivery via C-section, with improved maternal outcomes.
Area of Science:
- Dermatology
- Obstetrics & Gynecology
Background:
- Pyoderma gangrenosum (PG) is a rare, ulcerative neutrophilic dermatosis.
- Pregnancy presents unique challenges for managing dermatological conditions like PG.
Observation:
- A 28-year-old pregnant woman presented with perineal pyoderma gangrenosum.
- Diagnosis was confirmed via skin biopsy showing neutrophilic infiltrates.
Findings:
- Management was complex, involving oral prednisolone with partial ulcer improvement.
- Cesarean section was chosen due to concerns about vaginal delivery exacerbating the ulcer.
- Post-delivery, the cesarean incision remained free of PG, and the perineal ulcer improved.
Implications:
- Highlights the importance of considering pyoderma gangrenosum in pregnant patients with vulvar ulcerations.
- Suggests cesarean delivery may be a safer option in advanced cases.
- Emphasizes the need for multidisciplinary collaboration between obstetricians and dermatologists.
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