This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Walter J. Wyrick, MD; Jon T. Mader, MD; M. Ellen Butler, MS; William H. Hulet, MD

Arch Dermatol. 1978;114(8):1232-1233.

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

Effective treatment of the phagedenic ulcers of pyoderma gangrenosum has been difficult, and numerous therapeutic measures have been reported. Four recently reported cases have healed promptly with hyperbaric oxygen (HBO) therapy.^1-3 Our patient had extensive pyoderma gangrenosum that failed to heal despite treatment with sulfones and corticosteroids.

Report of a Case

A 23-year-old woman came to the University of Texas Medical Branch with a four-year history of persistent, pustular ulcerations that had been previously diagnosed as pyoderma gangrenosum. She had received the standard treatments for pyoderma gangrenosum, which included 60 mg/day of prednisone on two different occasions and sulfone therapy for the past three months, without resolution of the ulcerations.

Examination disclosed a 35 x 15-cm purulent ulceration on the lower portion of the right leg and a 9 x 15-cm ulceration on the lower portion of the left leg (Fig 1). New erythematous papulopustules continued to develop around . . . [Full Text PDF of this Article]

Author Affiliations
From the Marine Biomedical Institute (Dr Hulet and Ms Butler) and the Departments of Dermatology (Dr Wyrick) and Medicine (Dr Mader), University of Texas Medical Branch Galveston.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?