title: [Postoperative pyoderma gangrenosum of Cullen].
abstract: The clinical picture in pyoderma gangrenosum varies but a typical medical history with resistance to antimicrobial treatment and worsening or first manifestation of disease because of surgical procedures are indications of this diagnosis. We describe the course of a woman patient who had a pyoderma gangrenosum for more than 1.5 years. After confirming the diagnosis an immunomodulating therapy was initiated until complete remission of the ulcers. Differential diagnosis and different clinicopathologic forms of pyoderma gangrenosum are discussed and an overview of the association with internal diseases is provided.
authors.affiliation: Zentrum der Dermatologie und Venerologie, Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, Frankfurt, Germany. Eva.Valesky@kgu.de
authors.forename: E M
authors.initials: EM
authors.lastname: Valesky
authors.forename: K
authors.initials: K
authors.lastname: Spieth
authors.forename: C
authors.initials: C
authors.lastname: Beier
authors.forename: M
authors.initials: M
authors.lastname: Wolter
authors.forename: R
authors.initials: R
authors.lastname: Kaufmann
mesh_terms: D000368:Aged; D001706:Biopsy; D016572:Cyclosporine / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008775:Methylprednisolone / Q000008:administration & dosage; D011183:Postoperative Complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D017511:Pyoderma Gangrenosum / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D012867:Skin / Q000473:pathology; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D016559:Tacrolimus / Q000008:administration & dosage