title: Vulvar pyoderma gangrenosum originating from a healed obstetric laceration.
abstract: BACKGROUND
  Pyoderma gangrenosum is a rare dermatologic disorder that can occur on the vulva.
  
  
  METHODS
  A 25-year-old woman, gravida 2 para 1 abortus 1, had development of pain and subsequent ulceration at the location of her previously healed vulvar obstetric laceration. The ulceration and pain continued to worsen despite wound management. Once the diagnosis of vulvar pyoderma gangrenosum was made, cyclosporine was started and the wound rapidly healed.
  
  
  CONCLUSIONS
  Vulvar pyoderma gangrenosum should be considered when a vulvar wound is not healing with conservative measures. Cyclosporine can be considered as an alternative to steroids for treatment.
authors.affiliation: Department of Obstetrics and Gynecology, Langley Air Force Base, Hampton, Virginia; and the Departments of Obstetrics and Gynecology, Pathology, and Dermatology, Portsmouth Naval Hospital, Portsmouth, Virginia.
authors.forename: Beverly G
authors.initials: BG
authors.lastname: Reed
authors.forename: Stuart
authors.initials: S
authors.lastname: Shippey
authors.forename: Allan
authors.initials: A
authors.lastname: Kremp
authors.forename: Eric
authors.initials: E
authors.lastname: Belin
mesh_terms: D000328:Adult; D016572:Cyclosporine / Q000627:therapeutic use; D036861:Delivery, Obstetric / Q000009:adverse effects; D003879:Dermatologic Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D022125:Lacerations / Q000150:complications; D017511:Pyoderma Gangrenosum / Q000188:drug therapy / Q000209:etiology*; D014844:Vulva / Q000293:injuries; D014845:Vulvar Diseases / Q000188:drug therapy / Q000209:etiology*; D014945:Wound Healing
chemical_list: D003879:Dermatologic Agents; D016572:Cyclosporine