Vol. 26 No. 5 (2019), Cilinical Note
Vol. 26 No. 5 (2019)

Pyoderma gangrenosum, undocumented complication of a spinal cord stimulation

Cilinical Note
Published 2019-10-07
Marco Aurelio Ramirez Huaranga
Hospital General Universitario de ciudad Real
Monica Garcia Arpa
Hospital General Universitario de ciudad Real
David Bellido Pastrana
Hospital General Universitario de ciudad Real
Claudia Carolina Ramos Rodriguez
Hospital General Universitario de ciudad Real
Iris Violeta De la Rocha Vedia
Hospital General Universitario de ciudad Real
Carlos Alberto Jaramillo Tascon
Hospital General Universitario de ciudad Real
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Keywords

Pyoderma gangrenosum
neutrophilic dermatosis
spinal cord stimulation
surgical complications.

Abstract

Pyoderma gangrenosum (PG) is a rare and painful skin disease with unpredictable treatment response. The lesions are recurrent and occur in areas that have suffered previous trauma. Some cases have been related to different types of surgeries and it is usually underdiagnosed and erroneously classifi ed as an infectious process. The implantation of a neurostimulation system is a surgical procedure with several possible complications, usually infectious but also non-infectious such as hypersensitivity reactions but there is no description of PG. We report a patient with a post-surgical complex regional pain syndrome in both feet that develops a necrotic, pustular, erythematous and painful lesion after the implantation of a spinal cord stimulation which was diagnosed as PG and correctly treated thanks to a multidisciplinary approach.
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References

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