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Vulvar Pyoderma Gangrenosum Originating From a Healed Obstetric Laceration

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

doi: 10.1097/AOG.0b013e318297e98f
Case Report

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.

Pyoderma gangrenosum can originate from a healed obstetric laceration, and cyclosporine is a treatment that can be considered.

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.

Corresponding author: Beverly G. Reed, MD, Department of Obstetrics/Gynecology, 633rd Medical Group, 77 Nealy Avenue, Langley Air Force Base, Hampton, VA 23665; e-mail: Beverly.reed@gmail.com.

Presented as a poster at the American College of Obstetricians and Gynecologists 2012 Armed Forces District Annual Meeting, October 7–10, 2012, Las Vegas, Nevada.

Financial Disclosure The authors did not report any potential conflicts of interest.

The authors are federal employees, authored the article as part of their employment duties, and thus are exempt from copyright assignment. The opinions and conclusions in this paper are those of the authors and are not intended to represent the official position of the Department of Defense, United States Air Force, United States Navy, or any other government agency.

© 2013 by The American College of Obstetricians and Gynecologists.