I have been struggling with this problem for 9 months. Open wounds formed on the lower limbs. After a few months, these wounds healed, except for one on the lower right tibia. At first I had a bruise there, then it started to grow, I got a scab. At this point, I have 2 wounds of approximately 68 and 88 cm. It keeps growing and the pain is excruciating. I am on 40 mg Prednisolone a day and 1000 mg Mycophenolate 2 times a day. In addition, I got morphine in long-acting tablets of about 10 mg, which I am supposed to take 2 times a day, but I have to save myself from dihydrocodeine 60 mg, which I take about 3-4 a day. Is there any more effective treatment than the one I am on? The wounds, unfortunately, keep getting bigger and I don't know who to turn to for help anymore.
If the therapy has no effect, it is necessary to modify it. There is a wide variety of medications used to treat pyoderma gangrenosum.
Treatment is always determined individually depending on the clinical condition and additional tests. You should visit a highly specialized dermatological center (Clinical Centers).
Read also
- Pyoderma gangrenosum: causes, symptoms, treatment
- Pyoderma gangrenosum and erythema nodosum [Expert's tip]
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Elżbieta Szymańska, MD, PhDDermatologist-venereologist. He deals with classic and aesthetic dermatology. He works as a deputy manager in the Department of Dermatology at the Central Clinical Hospital of the Ministry of the Interior and as director of for medical matters, Center for Prevention and Therapy in Warsaw. Since 2011, he has been the scientific director of the Postgraduate Studies of the Medical University of Warsaw "Aesthetic Medicine".
More advice from this expert
Safety of PUVA therapy in psoriasis [Expert's advice]Autoimmune diseases and childhood immunization [Expert advice]Dark spot under the nail a symptom of melanoma? [Expert advice]Dark spots on the knees and the thyroid gland [Expert's advice]Clotrimazolum for pityriasis versicolor in pregnancy? [Expert advice]Can pressure ulcers be washed? [Expert advice]Can Oil Burn Cause Melanoma? [Expert advice]Does a tattoo increase your risk of melanoma [Expert Advice]Whethertestosterone therapy after removal of melanoma safe? [Expert advice]Can cosmetic treatments damage the skin? [Expert advice]Laser hair removal and Trioxal [Expert's tip]How to protect the skin after removing melanoma? [Expert advice]How to care for the skin of a child with scarlet fever? [Expert advice]How can you get syphilis? [Expert advice]How to care for skin lesions in the course of sarcoidosis? [Expert advice]How to get rid of nail psoriasis? [Expert advice]Isotretinoin treatment and bronzer use [Expert's tip]Treatment of pemphigus [Expert Advice]Treatment of scabies with Infectoscab in adults [Expert Advice]Detachment of nails and diabetes [Expert Advice]Care for acne skin with blackheads [Expert's advice]Piercing - a navel ring in a diabetic patient [Expert's advice]Butterfly-shaped erythema on the face [Expert Advice]Itchy skin with isotretinoin treatment [Expert Advice]Intercourse and getting chickenpox [Expert's advice]Hair growth after damage to the epidermis [Expert's advice]You contracted herpes zoster from a person with smallpox [Expert advice]White dandruff and sunbathing [Expert's advice]Alopecia areata and laser hair removal [Expert's advice]Itchy skin after chemotherapy [Expert advice]