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Pyoderma gangrenosum-A case report

Journal of Dermatology & Cosmetology
Mahym Mansoor, Ghazala Butt, Amna Asad, Ijaz Hussain


A 36 year old lady presented to Mayo Hospital Lahore, Pakistan with a 6 month history of widespread, discrete ulcer formation all over her body. The ulcers started from her left hand, as an itchy erythematous rash. The overlying skin broke down within 2-3 days to form an ulcer. The patient developed several such ulcers on the rest of her body involving her arms, legs, buttocks, breasts and abdomen. The ulcers were painful, non-healing and unsightly, restricting her daily activities and leading to psychosocial stress. She had previously received treatment consisting of corticosteroids, antibiotics and was started on cyclosporine 1 month before presentation. Although partial relief was found with no further ulcer formation, the pre-existing ulcers were extremely slow to heal. There was no complete symptom free period during the 6 months of her illness.


nalbuphine, hemodynamically stable, melena, hematochezia, haptoglobin levels, perivascular neutrophilic, amikacin