Case reports
Pyoderma Gangrenosum Following Cesarean Delivery
Pioderma Gangrenoso Después del Parto por Cesárea
C. Sanz-Muñoz
, C. Martínez-Morán, A. Miranda-Romero
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Servicio de Dermatología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
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Sanz-Muñoz, C. Martínez-Morán, A. Miranda-Romero" "autores" => array:3 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Sanz-Muñoz" "email" => array:1 [ 0 => "carolsanzm@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Martínez-Morán" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Miranda-Romero" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: C/ Corpus Christi n.° 9, 2.° B, 47005 Valladolid, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pioderma Gangrenoso Después del Parto por Cesárea" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2007-12-12" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84239" "palabras" => array:3 [ 0 => "pyoderma gangrenosum" 1 => "cesarean section" 2 => "pregnancy" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84240" "palabras" => array:3 [ 0 => "pioderma gangrenoso" 1 => "parto por cesárea" 2 => "embarazo" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">We describe the case of a 30-year-old woman who, 5 days after giving birth to her first child by cesarean section, presented with dehiscence of one end of the surgical wound and a lesion on her leg that developed into a well-defined ulcer; both lesions were very painful. The patient was initially diagnosed with a skin infection and later with superficial pyoderma gangrenosum. The lesions were treated with topical corticosteroids and a good response was observed. No evidence was found of underlying disease. Isolated cases of pyoderma gangrenosum associated with pregnancy or cesarean delivery have been reported in the literature. The etiology of pyoderma gangrenosum is currently unknown, but some theories suggest an immunologic mechanism. Gestation is known to generate a state of immune tolerance that could play a role in the development of the disease and future studies may help to clarify the significance of this association.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de una mujer de 30 años, primípara, que 5 días después del parto por cesárea presenta dehiscencia de uno de los extremos de la herida quirúrgica y una lesión en la pierna, que evolucionó a una úlcera bien constituida, ambas lesiones muy dolorosas. Fue diagnosticada inicialmente de infección cutánea y posteriormente de pioderma gangrenoso superficial; se trataron las lesiones con corticoides tópicos con buena respuesta al tratamiento. Tras el estudio de la paciente no se encontró patología subyacente. La asociación del pioderma gangrenoso con el embarazo o parto por cesárea se encuentra en la literatura como casos individuales. En la actualidad no se conoce la etiología del pioderma gangrenoso, aunque algunas teorías apuntan a un trastorno de la función inmunológica. Se sabe que la gestación determina un estado de inmunotolerancia que podría tener algún papel en el desarrollo del pioderma gangrenoso; futuras investigaciones podrán aclarar la relevancia de esta asociación.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum complicating caesarian section" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C.C. Harland" 1 => "W. Jaffe" 2 => "C.A. Holden" 3 => "L.D. 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| 2023 January | 20 | 28 | 48 |
| 2022 December | 23 | 31 | 54 |
| 2022 November | 23 | 37 | 60 |
| 2022 October | 15 | 20 | 35 |
| 2022 September | 16 | 45 | 61 |
| 2022 August | 14 | 41 | 55 |
| 2022 July | 12 | 20 | 32 |
| 2022 June | 15 | 39 | 54 |
| 2022 May | 21 | 38 | 59 |
| 2022 April | 26 | 63 | 89 |
| 2022 March | 36 | 49 | 85 |
| 2022 February | 16 | 22 | 38 |
| 2022 January | 23 | 32 | 55 |
| 2021 December | 28 | 34 | 62 |
| 2021 November | 27 | 37 | 64 |
| 2021 October | 19 | 40 | 59 |
| 2021 September | 23 | 35 | 58 |
| 2021 August | 16 | 19 | 35 |
| 2021 July | 16 | 39 | 55 |
| 2021 June | 18 | 24 | 42 |
| 2021 May | 23 | 26 | 49 |
| 2021 April | 52 | 61 | 113 |
| 2021 March | 67 | 30 | 97 |
| 2021 February | 69 | 21 | 90 |
| 2021 January | 42 | 17 | 59 |
| 2020 December | 29 | 12 | 41 |
| 2020 November | 19 | 12 | 31 |
| 2020 October | 29 | 12 | 41 |
| 2020 September | 42 | 6 | 48 |
| 2020 August | 70 | 17 | 87 |
| 2020 July | 36 | 7 | 43 |
| 2020 June | 22 | 20 | 42 |
| 2020 May | 35 | 18 | 53 |
| 2020 April | 37 | 18 | 55 |
| 2020 March | 56 | 21 | 77 |
| 2020 February | 7 | 2 | 9 |
| 2020 January | 0 | 4 | 4 |
| 2019 December | 0 | 9 | 9 |
| 2019 November | 0 | 7 | 7 |
| 2019 October | 0 | 5 | 5 |
| 2019 September | 0 | 3 | 3 |
| 2019 August | 0 | 2 | 2 |
| 2019 July | 0 | 19 | 19 |
| 2019 June | 0 | 5 | 5 |
| 2019 May | 2 | 54 | 56 |
| 2019 April | 0 | 7 | 7 |
| 2019 March | 0 | 5 | 5 |
| 2019 February | 0 | 7 | 7 |
| 2018 December | 0 | 1 | 1 |
| 2018 November | 0 | 1 | 1 |
| 2018 October | 0 | 2 | 2 |
| 2018 June | 0 | 3 | 3 |
| 2018 May | 0 | 4 | 4 |
| 2018 February | 14 | 4 | 18 |
| 2018 January | 13 | 8 | 21 |
| 2017 December | 22 | 8 | 30 |
| 2017 November | 20 | 7 | 27 |
| 2017 October | 9 | 4 | 13 |
| 2017 September | 15 | 5 | 20 |
| 2017 August | 10 | 7 | 17 |
| 2017 July | 11 | 5 | 16 |
| 2017 June | 16 | 14 | 30 |
| 2017 May | 16 | 22 | 38 |
| 2017 April | 17 | 12 | 29 |
| 2017 March | 12 | 36 | 48 |
| 2017 February | 10 | 12 | 22 |
| 2017 January | 11 | 14 | 25 |
| 2016 December | 20 | 10 | 30 |
| 2016 November | 29 | 21 | 50 |
| 2016 October | 28 | 12 | 40 |
| 2016 September | 29 | 18 | 47 |
| 2016 August | 21 | 8 | 29 |
| 2016 July | 27 | 10 | 37 |
| 2016 June | 12 | 12 | 24 |
| 2016 May | 11 | 5 | 16 |
| 2016 April | 9 | 5 | 14 |
| 2016 March | 8 | 0 | 8 |
| 2016 February | 5 | 2 | 7 |
| 2016 January | 6 | 1 | 7 |
| 2015 December | 9 | 2 | 11 |
| 2015 November | 9 | 1 | 10 |
| 2015 October | 6 | 4 | 10 |
| 2015 September | 6 | 5 | 11 |
| 2015 August | 17 | 4 | 21 |
| 2015 July | 35 | 9 | 44 |
| 2015 June | 28 | 11 | 39 |
| 2015 May | 72 | 21 | 93 |
| 2015 April | 31 | 20 | 51 |
| 2015 March | 34 | 16 | 50 |
| 2015 February | 36 | 12 | 48 |
| 2015 January | 16 | 11 | 27 |
| 2014 December | 38 | 9 | 47 |
| 2014 November | 24 | 11 | 35 |
| 2014 October | 42 | 24 | 66 |
| 2014 September | 28 | 14 | 42 |
| 2014 August | 32 | 14 | 46 |
| 2014 July | 43 | 18 | 61 |
| 2014 June | 45 | 12 | 57 |
| 2014 May | 50 | 14 | 64 |
| 2014 April | 40 | 10 | 50 |
| 2014 March | 34 | 16 | 50 |
| 2014 February | 41 | 20 | 61 |
| 2014 January | 36 | 20 | 56 |
| 2013 December | 42 | 13 | 55 |
| 2013 November | 25 | 19 | 44 |
| 2013 October | 32 | 18 | 50 |
| 2013 September | 24 | 33 | 57 |
| 2013 August | 28 | 44 | 72 |
| 2013 July | 31 | 41 | 72 |
| 2013 June | 17 | 27 | 44 |
| 2013 May | 21 | 28 | 49 |
| 2013 April | 32 | 32 | 64 |
| 2013 March | 28 | 30 | 58 |
| 2013 February | 23 | 19 | 42 |
| 2013 January | 14 | 7 | 21 |
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