International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 1, Issue 5 | Case Report | Open Access

Extensive Perianal Pyoderma Gangrenosum, Diagnostic-Therapeutic Approach to A Complicated Patient. A Case Report

Rodríguez Daniel Oswaldo*

Neurosurgery Resident, Hospital Regional Primero de Octubre ISSSTE, México City, Mexico

*Correspondence to: Rodríguez Daniel Oswaldo 

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Background: Pyoderma gangrenosum is a rare neutrophilic dermatosis with very low incidence and varied clinical presentation associated with different comorbidities, also a diagnostic-therapeutic challenge. This article reports an individualized and multidisciplinary diagnostic-treatment approach of a relevant additionally infrequent extensive perianal pyoderma gangrenosum case.

Clinical Case: A 79-year-old female patient with 18 months dermatosis evolution began as a perianal pustule and progressed to a 20 cm in diameter ulcer was presented. Pyoderma gangrenosum diagnosis was established based on international accepted criteria. Due to her comorbidities moreover systemic complication, she received multidisciplinary and individualized topic treatment with satisfactory evolution.

Conclusions: Pyoderma gangrenosum is frequently associated with a systemic disease, consequently it must be approached from a systemic perspective with the support of a multidisciplinary team to provide the most appropriate treatment.


Pyoderma gangrenosum, neutrophilic dermatosis, peptic ulcer hemorrhage, hypothyroidism, case report


Pérez-Campos Laura Areli, Gutiérrez-Ávila Salvador Alonso, Alcántara-Ramírez Valarie, Dávila-Rodríguez Daniel Oswaldo.Extensive Perianal Pyoderma Gangrenosum, Diagnostic-Therapeutic Approach to A Complicated Patient.Case Report.Int Clinc Med Case Rep Jour. 2022;1(4):1-6.