The use of complex therapy in the treatment of ulcerative necrotic skin lesions. Case report
https://doi.org/10.25199/2408-9613-2026-13-1-40-45
Abstract
Pyoderma gangrenosa (GP) – a rare chronic inflammatory neutrophilic dermatosis with a complex and poorly understood etiopathogenesis, which is characterized by a specific skin lesion with an evolutionary polymorphism. The article considers a case of severe recurrent gangrenous pyoderma. The tactics of examination and treatment of the patient are described, as well as the problems encountered during the correction of conservative therapy and the use of surgical treatment of this disease.
About the Authors
A. B. Ryabushenko
GBUZ TO «Regional Clinical Hospital No. 1»
Russian Federation
Russian Federation
Ryabushenko Alexander Borisovich – surgeon at the Purulent Surgery Department
55 Kotovsky Str., Tyumen, 625023
I. A. Matveev
GBUZ TO «Regional Clinical Hospital No. 1» ; Tyumen State Medical University of the Ministry of Health
Russian Federation
Russian Federation
Matveev Ivan Anatolyevich – MD, Associate Professor, Head of the Department of Faculty Surgery
55 Kotovsky Str., Tyumen, 625023
54 Odesskaya str., Tyumen, 625023
A. O. Matreninskih
GBUZ TO «Regional Clinical Hospital No. 1» ; Tyumen State Medical University of the Ministry of Health
Russian Federation
Russian Federation
Anastasia Olegovna Matreninskikh – surgeon at the Purulent Surgery Department, Assistant at the Department of Faculty Surgery
55 Kotovsky Str., Tyumen, 625023
54 Odesskaya str., Tyumen, 625023
References
1. Elkin V. D., Sedova T. G., Plotnikova E. V., Zhukova A. A. Pyoderma gangrenosum, pathogenetic associations, clinical presentation, and course features in children. Rus J Clin Dermat Vener. 2022; 21 (2): 207–213. (In Russ.) doi: 10.17116/klinderma202221021207
2. Gubonina I. V., Grinevich V. B., Ramazanova S. R., et al. A clinical case of pyoderma gangrenosum as a severe extraintestinal manifestation of Crohn's disease. Alm Clin Med. 2023; 51 (4): 253–258. (In Russ.) doi: 10.18786/2072-0505-2023-51-028
3. Brunsting L. A., Goeckerman W. H., O’Leary P. A. Pyoderma (echthyma) gangrenosum: clinical and experimental observations in five cases occurring in adults. Arch Derm Syphilol. 1930; 22: 655–680. doi: 10.1001/archderm.1930.01440160053009
4. Ruocco E., Sangiuliano S., Gravina A. G., et al. Pyoderma gangrenosum: an updated review. J Eur Acad Dermatol Venereol. 2009; 23 (9): 1008–1017. doi: 10.1111/j.1468-3083.2009.03199.x
5. Sedov V. M., Andreev D. Yu., Paramonov B. A., et al. Pyoderma gangrenous as a surgical problem. Bulletin of Surgery named after I. I. Grekov. 2010; 169 (3): 111–116. (In Russ.)
6. Nefedieva Yu., Ziganshin O., Kozavchinskaya N., Sysakov D. Clinical observation: pyoderma gangrenosa. Doctor. 2018; (7): 51–53. (In Russ.) doi: 10.29296/25877305-2018-07-11
7. Hamm R. L. Wounds. Diagnosis and treatment: atlashandbook / Gp. from English. Edited by V. A. Mitish, Yu. S. Paskhalova, Moscow: GEOTAR-Media, 2023, 536 p. (In Russ.) doi: 10.33029/9704-5950-8-WDT-2021-1-536
8. Habif T. P. Skin diseases: Diagnosis and treatment / translated from English. under the general editorship of A. A. Kubanova. 2nd ed. M.: MEDpress-inform, 2007. — pp. 580–583. (In Russ.)
9. Patrushev A.V., Samtsov A.V., Barbinov V. V., et al. Pyoderma gangrenosa: difficulties in diagnosis and therapy. Russian Journal of Skin and Venereal Diseases. 2014; 1: 25–29. (In Russ.) doi: 10.25208/0042-4609-2014-0-1-22-49
10. Shelygin Yu. A., Ivashkin V. T., Achkasov S. I., et al. Clinical recommendations. Crohn's disease (K50), adults. Coloproctology. 2023; 22 (3): 10–-49 (In Russ.) doi: 10.33878/2073-7556-2023-22-3-10-49
11. Yelkin V. D., Mitryukovsky M. L., Sedova T. G. Selected dermatology. Rare dermatoses and dermatological syndromes. In: An illustrated guide to the diagnosis and treatment of dermatoses. Perm, 2004. — 946 p. (In Russ.)
12. Wolfe K., Johnson R., Surmond D. Thomas Fitzpatrick dermatology. Atlas-handbook / Translated from English by E. A. Okisheva, A.V. Snegovskaya, E. R. Timofeeva. 2nd ed. M.: Praktika, 2007. — pp. 861–862. (In Russ.)
Review
For citations:
Ryabushenko A.B., Matveev I.A., Matreninskih A.O. The use of complex therapy in the treatment of ulcerative necrotic skin lesions. Case report. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2026;13(1):40-45. (In Russ.) https://doi.org/10.25199/2408-9613-2026-13-1-40-45
Views:
95
JATS XML
Email this article 