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Marcelo M. Ghersi, MD; Carlos Ricotti, MD; Carlos H. Nousari, MD; Martin I. Newman, MD

Arch Dermatol. 2007;143(10):1249-1251.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

The clinical management of pyoderma gangrenosum (PG) ulcers has been a challenging practice since the description of these chronic wounds. Advances in biotechnology in the past 2 decades have given us a better understanding of the histopathologic nature of this disease, and as a result, better therapeutic modalities have evolved. However, on occasion PG ulcers will present in a refractory manner that will mandate additional strategies to attain wound closure. We present herein the novel use of negative pressure dressings to effectively treat such a complex wound.

REPORT OF A CASE

A 57-year-old woman with a history of a very slowly healing PG ulcer on the lower part of her left leg for 2 years presented with increasing pain and ulcer size after more recent physical trauma. On physical examination, she had a rounded ulcer (diameter, 10 cm) with . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT

AUTHOR INFORMATION

Department of Surgery, Mount Sinai Medical Center, Miami Beach, Florida (Dr Ghersi); Department of Dermatology, University of Miami, Miami, Florida (Drs Ricotti and Nousari); and Department of Plastic Surgery, Cleveland Clinic Florida, Weston (Dr Newman)