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Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e318297e98f
Case Report

Vulvar Pyoderma Gangrenosum Originating From a Healed Obstetric Laceration

Reed, Beverly G. MD; Shippey, Stuart MD; Kremp, Allan MD; Belin, Eric MD

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Abstract

BACKGROUND: Pyoderma gangrenosum is a rare dermatologic disorder that can occur on the vulva.

CASE: 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.

CONCLUSION: 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.

© 2013 by The American College of Obstetricians and Gynecologists.

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