Diagnosed With Pyoderma Gangrenoseum After Dealing With Small Burn. Infected With MSRA. Failed Skin Grafts. Wounds Are Painful. Help?
Was diagnosed with pyoderma gangrenoseum after dealing with a small burn on my right lower fore arm that became infected with MARSA and had 4 failed skin grafts. The burn was very small but soon grew into this large open wound from the elbow where the burn was and has now gone all the way down on my hand. I am a chronic anemic and low iron count for which I have had to have blood transfusion and iron infusions every few months. MRI has shown a nodule on my liver, and enlarged spleen and cysts on both kidneys. The doctors are now going to start me on cyclosporine because I am allergic to steroids. Does this seem like a good option as the drug therapy to try. The wound is extremely painful and drains large amounts on a daily basis.
hi. Pyoderma gangrenosum is one of the neutrophilic dermatosis. It usually presents as a non-healing ulcer with undermined edges and keeps on expanding.
First-line therapy pyoderma gangrenosum is systemic treatment by corticosteroids and cyclosporine. Topical application of Clobetasol, Mupirocin, and Gentamicin alternated with Tacrolimus can be effective.
Grafting is not recommended due to tissue necrosis.
If ineffective, alternative therapeutic procedures include systemic treatment with corticosteroids and mycophenolate mofetil; mycophenolate mofetil and cyclosporine; tacrolimus; thalidomide; infliximab; or plasmapheresis
I find this answer helpful
1 user finds this helpful
You found this answer helpful
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
We use cookies in order to offer you most relevant experience and using this website you acknowledge that you have already read and understood our
Privacy Policy
Diagnosed With Pyoderma Gangrenoseum After Dealing With Small Burn. Infected With MSRA. Failed Skin Grafts. Wounds Are Painful. Help?
hi. Pyoderma gangrenosum is one of the neutrophilic dermatosis. It usually presents as a non-healing ulcer with undermined edges and keeps on expanding. First-line therapy pyoderma gangrenosum is systemic treatment by corticosteroids and cyclosporine. Topical application of Clobetasol, Mupirocin, and Gentamicin alternated with Tacrolimus can be effective. Grafting is not recommended due to tissue necrosis. If ineffective, alternative therapeutic procedures include systemic treatment with corticosteroids and mycophenolate mofetil; mycophenolate mofetil and cyclosporine; tacrolimus; thalidomide; infliximab; or plasmapheresis