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Updated: Nov 30, 2025

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

Published on: March 14, 2025

Consecutive Cases of Pyoderma Gangrenosum Following Dermatologic Surgery.

Brian Wanner^1,2,3, Stephanie Saridakis^1,2,3, Dawn Sammons^1,2,3

¹Dr. Wanner is a dermatology resident, PGY-3, at OhioHealth Riverside Methodist Hospital in Columbus, Ohio.

The Journal of Clinical and Aesthetic Dermatology

|November 12, 2020

Summary

Pyoderma gangrenosum (PG) can occur after dermatologic surgery, even without prior history. Early recognition is crucial for patients with Crohn's disease to prevent complications.

Keywords:

Mohs surgery Pyoderma gangrenosum postoperative pyoderma gangrenosum

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Last Updated: Nov 30, 2025

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

Published on: March 14, 2025

Area of Science:

Dermatology
Gastroenterology

Background:

Pyoderma gangrenosum (PG) is a rare, ulcerative skin condition.
It is often linked to pathergy and systemic diseases.

Observation:

A patient experienced two PG episodes after consecutive left-hand dermatologic surgeries.
The initial ulcers appeared after Mohs surgery and an elliptical excision.
PG recurred five months later, following another Mohs surgery.

Findings:

The patient had undiagnosed Crohn's disease.
Postsurgical PG presentation can mimic other skin conditions, delaying diagnosis.

Implications:

Dermatologists and Mohs surgeons must consider PG in patients with poor wound healing.
Awareness of postsurgical PG is vital to avoid complications and debridement.