Pyoderma, gangrenosum, as described by Brunsting and his associates in 1930, is characterized by the rapid appearance of one or more bluish-black, boggy, undermined ulcers, most frequently on the legs of persons with ulcerative colitis or rheumatoid arthritis. Its pathogenesis is often obscure.
Present management of pyoderma gangr !nosum consists of local treatment of the wound, systemic corticosteroid therapy, and treatment of any underlying disease. ,In our 21 year-old male with pyoderma gangrenosum, hyperbaric oxygen therapy was performed. Treatment was given in the hyperbaric oxygen one-man chamber at 3.0 ATA for 30 minutes daily for 49 days. By 36 days, the ulcers on the face and neck was healed. Approximately one month after the patient was discharged, complete resolution of the lesions on the back occurred.
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