Postoperativna Pioderma Gangrenozum – Prikaz Slučaja

Nenad Vasić; Kristina Kostić; Damjan Slavković; Zoran Kostić; Nenad Petrov; Tatjana Radević; Lidija Kandolf

doi:10.2478/sjdv-2025-0010

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Postoperativna Pioderma Gangrenozum – Prikaz Slučaja

Serbian Journal of Dermatology and Venereology

Volume 14 (2025): Issue 2 (December 2025)

By: Nenad Vasić, Kristina Kostić, Damjan Slavković, Zoran Kostić, Nenad Petrov, Tatjana Radević and Lidija Kandolf

Open Access

|May 2026

Abstract

Uvod. Postoperativna pioderma gangrenozum predstavlja podtip pioderme gangrenozum koji se javlja na mestima hirurške traume. Reč je o retkoj neutrofilnoj dermatozi koju karakterišu bolne papulopustule koje evoluiraju u bolne ulceracije sa lividnim, podrivenim rubom, koje se periferno šire. Prikaz slučaja. Prikazujemo pacijentkinju starosti 67 godina, bez prethodne anamneze pioderme gangrenozum, kod koje su se novonastale ulceracije razvile na mestima hirurške traume nakon perkutane kolostomije i torakocenteze. Dijagnoza posthirurške pioderme gangrenozum postavljena je na osnovu kliničke slike i histopatološkog pregleda biopsije kože uzete sa ivice ulceracije. Pacijentkinja je lečena sedam meseci kortikosteroidima, a potom ciklosporinom A, što je dovelo do potpune reepitelizacije. Zaključak. Ovaj entitet može imitirati atipičnu infekciju hirurške rane, što može dovesti do neadekvatnog lečenja i brze progresije bolesti. Od suštinskog je značaja izbeći nepotrebne agresivne debridmane i započeti adekvatnu terapiju na vreme.

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Articles in this issue

DOI: https://doi.org/10.2478/sjdv-2025-0010 | Journal eISSN: 2406-0631 | Journal ISSN: 1821-0902

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Language: English

Page range: 76 - 82

Submitted on: Jan 10, 2026

Accepted on: Mar 18, 2026

Published on: May 12, 2026

Published by: Serbian Association of Dermatovenereologists (SAD)

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

pioderma gangrenozum,

postoperativne komplikacije,

diferencijalna dijagnoza,

vezikulobulozne dermatoze

Related subjects:

Medicine,

Clinical medicine,

Dermatological and veneral diseases

© 2026 Nenad Vasić, Kristina Kostić, Damjan Slavković, Zoran Kostić, Nenad Petrov, Tatjana Radević, Lidija Kandolf, published by Serbian Association of Dermatovenereologists (SAD)
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Volume 14 (2025): Issue 2 (December 2025)