Perineal pyoderma gangrenosum in pregnancy: A case report

We describe the case of a 28-year-old woman with pyoderma gangrenosum in the perineal region during pregnancy. Cytological analysis of a skin biopsy specimen showed neutrophilic infiltrates across all the layers of the dermis, confirming the diagnosis of pyoderma gangrenosum. Determining a management plan, including the mode of delivery, was difficult. Oral prednisolone was started and her ulcer started to improve, but she still had the ulcer when she reached full term. Because there was a concern that the ulcer would be worsened by vaginal delivery, cesarean section was performed. After her delivery, pyoderma gangrenosum had not appeared at the cesarean incision and the ulcer in the perineal region had improved. Obstetricians should be aware of pyoderma gangrenosum as a differential diagnosis when vulvar ulceration develops during pregnancy.
Source: Case Reports in Womens Health - Category: OBGYN Source Type: research

Related Links:

A national survey of physicians provides insight into the variation in clinical practices regarding the management of pregnant women with subclinical hypothyroidism.Journal of the Endocrine Society
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Diabetes & Endocrinology Journal Article Source Type: news
Abstract Myeloid-derived suppressor cells (MDSCs) have emerged as a new immune regulator at the feto-maternal interface. Although the phenotypes and functions of these cells were primarily studied in pathological conditions such as cancers and infections, new evidence has underscored their beneficial roles in homeostasis and physiological circumstances such as normal pregnancy. In this regard, studies have shown an increased number of MDSCs, particularly granulocytic MDSCs, at the feto-maternal interface. These cells participate in maintaining immunological tolerance between mother and semi-allograft fetus through...
Source: Cellular Immunology - Category: Allergy & Immunology Authors: Tags: Cell Immunol Source Type: research
Abstract A 27-year-old woman with sudden back pain was transported to our hospital. Abdominal ultrasonography revealed pregnancy of 28 weeks ’ gestation. Computed tomography demonstrated a type A aortic dissection. Because of progressive fetal deterioration, an emergency cesarean section was forced to perform. The next day, simple hysterectomy followed by an aortic procedure was completed. Valve-sparing aortic replacement and total arch replacement were employed as central operations. The mother and baby are well 9 months postoperatively. Although the strategy for acute type A aortic dissection during pregnancy is co...
Source: Revista Brasileira de Cirurgia Cardiovascular - Category: Cardiovascular & Thoracic Surgery Source Type: research
Authors: Balta G, Dalla C, Kokras N Abstract Brain disorders and mental diseases, in particular, are common and considered as a top global health challenge for the twenty-first century. Interestingly, women suffer more frequently from mental disorders than men. Moreover, women may respond to psychotropic drugs differently than men, and, through their lifespan, they endure sex-orientated social stressors. In this chapter, we present how women may differ in the development and manifestation of mental health issues and how they differ from men in pharmacokinetics and pharmacodynamics. We discuss issues in clinical tri...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
ConclusionThis case is a rare phenomenon in which the dead fetus remained in the uterus for a long time after a neglected obstructed labor and uterine rupture.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
The the link between a pregnant woman's smoking and her baby's risks for sudden infant death syndrome. An Arizona University study in rats suggests how nicotine may alter their breathing.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
Source: BMJ Comments - Category: General Medicine Source Type: forums
Javaid Perwaiz, an obstetrician and gynecologist, was arrested and charged with health care fraud. In one instance, he was accused of tying one patient ’s fallopian tubes without her knowledge, according to court documents.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Hysterectomies Malpractice Pregnancy and Childbirth Virginia Javaid Perwaiz Frauds and Swindling Source Type: news
Study points out dangers, provides tips on monitoring health of mother and baby.
Source: Washington Post: To Your Health - Category: Consumer Health News Authors: Source Type: news
(Natural News) Gestational diabetes refers to the condition wherein a pregnant woman’s body cannot produce or respond to insulin, resulting in a spike in blood sugar levels. Without proper care, it may have detrimental effects not only on the mother but also the baby. What is the cause of gestational diabetes? According to the Centers...
Source: NaturalNews.com - Category: Consumer Health News Source Type: news
More News: Cesarean Section | Cytology | Dermatology | OBGYN | Prednisolone | Pregnancy | Skin | Skin Biopsy | Vulvar Biopsy | Women