Is surgery always the answer? A case study on pyoderma gangrenosum

Nicola Tuckey1, Ashwini Pondicherry MBBS2, Amber Moazzam MBBS, FRCS (Plast)3

1 South Auckland Clinical Campus, Faculty of Medical and Health Sciences, University of Auckland Private Bag 93311
2 National Burn Centre, CMDHB, Auckland, New Zealand 100 Hospital Rd, Auckland
3 National Burn Centre, CMDHB, Auckland, New Zealand 100 Hospital Rd, Auckland

We aim to present the case of a 12-year-old Samoan male, who was transferred to Middlemore Hospital from Starship with a chronic skin condition of unknown etiology. He underwent biopsies and change of dressings during the course of his admission. A diagnosis of pyoderma gangrenosum was made based on clinical grounds and exclusion of other diagnosis. Wound closure with allograft and autograft was attempted. Graft take was poor and systemic medical treatment was pursued. We propose that systemic treatment can be the mainstay of treatment in some cases and there is no consensus yet on the gold standard treatment of pyoderma gangrenosum.

Key Words

Pyoderma Gangrenosum, Surgical Management


I am a current junior surgical registrar at Middlemore Hospital and hope to pursue Plastic Surgery as a career


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