Pyoderma treatment

Distinct from classic ulcerative pyoderma gangrenosum, surgical approaches, such as stoma closure and resection of active inflammatory bowel disease, have an effective role in PPG management Pyoderma gangrenosum treatment is extremely different from treating the illnesses it mimics. Typically, treating PG requires a high-dose systemic corticosteroid or immunomodulating medications such as cyclosporine or the biologics instead of debridement, which makes the issue worse Pyoderma Gangrenosum Management Pyoderma gangrenosum is generally managed through a stepwise approach using a combination of systemic and topical therapies. Immunosuppression with corticosteroids and ciclosporin is the mainstay of treatment, with the use of other agents largely dependent on local protocols and experience. [1-3 Treatment of PG remains largely anecdotal, with no national or international guidelines, and is selected according to severity and rate of progression. Despite being a well-recognised condition, there is often a failure to make an early diagnosis of PG

Systemic treatment for larger ulcers due to pyoderma gangrenosum may include: Oral prednisone for several weeks or longer, or intermittent intravenous methylprednisolone for 3-5 days Ciclosporin, which is as effective as prednisone and has differing adverse effects and risk Pyoderma gangrenosum (pie-o-DUR-muh gang-ruh-NO-sum) is a rare condition that causes large, painful sores (ulcers) to develop on your skin, most often on your legs. The exact causes of pyoderma gangrenosum are unknown, but it appears to be a disorder of the immune system. People who have certain underlying conditions, such as inflammatory bowel. Treatment choice based on the severity and extent of pyoderma gangrenosum First-line treatment is aimed at optimising local wound care, particularly important in cases of PG arising on the leg, where wound healing can be delayed by vascular disease Bacterial infections, like pyoderma, simply require a swab of infected skin cells. Many veterinarians will use the test results to decide what antibiotic is most appropriate for treatment. Biopsy and Blood Testing If the above methods do not provide conclusive results, a slightly more invasive approach may be called for Antibiotics Because pyoderma is a bacterial infection, your vet may prescribe antibiotics. Amoxicillin, cephalexin, and clindamycin are common prescriptions for this type of infection. The typical treatment time is three to four weeks but can be extended to eight to twelve weeks if necessary

APPROACH TO TREATMENT The careful exclusion of other disorders that may cause cutaneous ulceration is an important first step in the management of lesions that appear consistent with pyoderma gangrenosum (PG). This is of particular importance since certain therapies utilized for PG can be ineffective or harmful in other diseases Topical antimicrobial therapy can be of significant benefit in the treatment of canine superficial pyoderma, and its value has risen with emerging bacterial resistance (Box 2). Topical therapy is usually safer and reaches higher concentration in the skin compared with systemic antimicrobials

Diagnosis and management of peristomal pyoderma

Natural Pet Remedies: Antibiotic treatment is standard for pyoderma in dogs, whether ingested or topical. Any natural antibiotic you trust for use with your pet may be effective. Garlic is one (controversial) option. Ted recommends a paste of borax and baking soda (see below) Treatment of Pyoderma in Dogs. Most cases of canine pyoderma can be managed with antibiotics 1x of 2x per day (erythromycin, lincomycin, oxacillin, cephalexin, enrofloxacin, marbofloxacin, cefpodoxime, cefadroxil, ormetroprim-potentiated sulfonamides). Antibiotics will be continued for 1 week past the point that the condition clears which is a. Drugs used to treat Pyoderma Gangrenosum. The following list of medications are in some way related to, or used in the treatment of this condition. Select drug class All drug classes antirheumatics (1) TNF alfa inhibitors (1) Rx. OTC Pyoderma, or skin infections, can be due to bacteria or fungal organisms and are often set up by damage to the skin barrier. Underlying causes such as allergies or hormonal imbalances may predispose your dog to recurrent issues. Treatment can be done with relative ease but must be carried out for the prescribed course

Pyoderma Gangrenosum Causes, Treatments, & Misdiagnosi

  1. Pyoderma in dogs is directly treated with antimicrobial therapy — either oral antibiotics or topical antibacterial medication, shampoo or spray applied to the affected area. Pyoderma is usually caused by Staphylococcus bacteria (or S taph). Unless your dog has a drug-resistant species, Staph infections are usually easily cleared up
  2. ate predisposing factors (pathogenetic therapy) - correction of carbohydrate metabolism, eli
  3. Treatment. Pyoderma dog treatment varies depending on whether the infection is superficial or deep, and in one spot or spread over the body. Superficial Pyoderma in Dogs. This is the easiest form of pyoderma to sort out. Usually it's a single hot spot and can be treated with a topical cream or gel
  4. TREATMENT. According to Allopaths the treatment for Pyoderma Gangrenosum includes giving antibiotics but there is no perfect cure that would remove the root causes. There are chances that it might also occur again. According to Ayurveda the body contains three dosha including Vata, Pitta and Kapha and imbalance of any dosha might lead to disease
  5. Pyogenic granuloma is an acquired benign proliferation of capillary blood vessels of the skin and oral cavity. The name is a misnomer as it is a form of lobular capillary haemangioma, not due to infection. Pyogenic granuloma has many synonyms including granuloma gravidarum or pregnancy tumour when occurring in pregnancy

Superficial pyoderma is a bacterial infection confined to the upper layers of the skin and hair follicle. The infection is usually secondary to local trauma, keratinization disorders, parasitic infestation, hormonal factors, or allergies. In dogs, superficial pyoderma is the most common form of pyoderma, and it is also the most common reason. Baths should be given 2 to 3 times per week during the first 2 weeks of treatment and then 1 to 2 times per week until the infection clears. Dogs with deep pyoderma may require daily baths with medicated shampoos diluted to one-half or one-quarter strength. Shampooing will remove bacteria, crusts, and scales, and reduce itching, odor, and oiliness

Pyoderma gangrenosum

Treatment of Pyoderma Gangrenosum Wound Care Educatio

Pyoderma gangrenosum can be difficult to treat. Treatment can leave some scarring in the affected area. Some people heal very slowly, over months or years. Others may find the condition clears up within a few weeks Ulcerations associated with pyoderma gangrenosum may occur after trauma or injury to the skin, a process called pathergy. Treatment involves wound care and the use of anti-inflammatory agents, including antibiotics, corticosteroids, immunosuppressants, and biologics. Last updated: 8/15/201 For deep pyoderma, a 6- to 12-week course of treatment (3 weeks beyond resolution of cutaneous lesions) or even longer may be required to resolve deep pockets of infection. 1 Regular rechecks are important to determine response to therapy and need for medication refills or therapy modifications The pyoderma treatment playing field gets a bit muddled once antibiotic resistance takes the mound. The emergence of bacterial strains in veterinary medicine resistant to virtually all antimicrobials has complicated how we as practitioners manage pyoderma, Dr. Rossi says. Some of this has been realized though the transfer of.

Pyoderma in Dogs and Cats. Superficial pyoderma is a bacterial infection confined to the upper layers of the skin and hair follicle. The infection is usually secondary to local trauma, keratinization disorders, parasitic infestation, hormonal factors, or allergies. In dogs, superficial pyoderma is the most common form of pyoderma, and it is. Pyoderma gangrenosum is a rare, inflammatory skin disease where painful pustules or nodules become ulcers that progressively grow. Pyoderma gangrenosum is not infectious. Treatments may include corticosteroids, ciclosporin, infliximab, or canakinumab.. The disease was identified in 1930. It affects approximately 1 person in 100,000 in the population tant disadvantage of azathioprine treatment is the de-layed onset of treatment effect, sometimes as much as Figure 2. Different stages of pyoderma gangrenosum in a patient with long-term disease. On the left side, a fresh lesion is seen, while on the right side, the inflammatory reaction around the ulcer has already decreased. Table 1

Pyoderma gangrenosum (PG) is a rare, severe, destructive neutrophilic dermatosis characterized by a progressive, necrotizing process after skin injury. Its cause is still unknown, and diagnosis represents a challenge when ulcers are seen after surgery Pyoderma gangrenosum (PG), a chronic aseptic inflammatory skin disease characterized by skin ulcers with elevated and undermined borders, is resistant to conventional therapies. PG is elicited by activated neutrophils and macrophages and often associated with systemic diseases such as inflammatory b Pyoderma gangrenosum (PG) is a chronic, recurrent skin disorder in which patients get small red bumps or blisters that can grow and join together to become large open sores, or ulcers. The number of ulcers that patients get can vary from a few in mild cases to many in more severe ones. They can be quite painful for some patients Mucocutaneous Pyoderma may respond to treatment with antibacterial shampoos, as described above, followed by the use of antibacterial ointment, such as mupirocin. Daily treatment for two weeks and then once or twice a week may be effective. Following resolution, the disease may remain in abeyance but commonly repeated treatment is required

Pyoderma gangrenosum is a rare and often painful skin disease that can be unpredictable in its response to treatment. There is currently no gold standard of treatment or published algorithm for choice of therapy Pyoderma gangrenosum is an autoimmune disorder and will be found in people over the age of 40 and often in people with other immune problems, such as ulcerative colitis, rheumatoid arthritis, multiple myeloma, polycythemia vera. About half the time no underlying pathology is evident Antibiotic Shampoo. While a course of antibiotics and tackling the underlying cause is often need for dog pyodermas, sometimes topical treatment may help ameliorate the skin condition. To treat a pyoderma topically, you can try an antibiotic shampoo such as a medicated shampoo like Malaseb, suggests Dr. Stacy. Use the shampoo about twice a week. Pyoderma is a bacterial skin infection in dogs. The most common signs of pyoderma in dogs are red bumps or pimples on the skin of your dog. Often, pyoderma is caused by an underlying medical condition such as environmental or food allergies. The treatment for pyoderma in dogs includes oral antibiotics and topical antibacterial shampoos Parastomal pyoderma gangrenosum (PPG) is an unusual neutrophilic dermatosis characterized by painful, necrotic ulcerations occurring in the area surrounding an abdominal stoma. It typically affects young to middle-aged adults, with a slight female predominance. The underlying etiology for PPG remains enigmatic but aberrant immune response to injury may play a pivotal role

Other pyoderma gangrenosum treatment options are generally geared toward the immune system, and specifically at suppressing it. If you are experiencing severe pain, using pain medications could be beneficial. To speed up wound healing and prevent infection, you need a medical grade treatment Pyoderma gangrenosum is a rare but serious primary ulcerating condition of the skin that falls into the category of neutrophilic dermatoses. Currently, there is no definitive guideline or gold standard in management of pyoderma gangrenosum, as data from controlled clinical trials are scarce. This topic provides an evidence-based, always current review on management of pyoderma gangrenosum. Pyoderma Treatment in Homeopathy. Based on the history of fever, the nature of eruptions and the discharge and the fulminant character of the skin, we gave her one dose of Pyrogen 200 followed by Calcarea sulph 30 c, bd for 3 days and asked to send a picture after 3 days or report earlier SOS Antibiotics used for deep pyoderma are similar to those used for superficial infections of the skin. Many dogs with deep pyoderma, however, particularly with chronicinfections or those associated with demodicosis, may have gram-negative bacteria associated with the infection in addition to Staphylococcus sp

Pyoderma vegetans (PV) is a rare disorder clinically characterized by large verrucous plaques with elevated borders and multiple pustules. Pyoderma vegetans is an eruption of multiple pustular ulcerations; it may have a bacterial etiology similar to chancriform pyoderma Pyoderma gangrenosum (PG) is an inflammatory skin disorder that is characterized by small, red bumps or blisters (papules or nodules) that eventually erode to form swollen open sores (ulcerations). The size and depth of the ulcerations vary greatly, and they are often extremely painful. In approximately 50 percent of cases, PG occurs secondary. Pyoderma In Dogs: Treatment and Natural Remedies. Different treatments will be advised depending on the depth and nature of the infection. Before deciding which kind of treatment to provide the dog, it is essential to understand the underlying condition behind this infection, since pyoderma may be secondary, as we explained, to another disease

The pyoderma treatment playing field gets a bit muddled once antibiotic resistance takes the mound. The emergence of bacterial strains in veterinary medicine resistant to virtually all antimicrobials has complicated how we as practitioners manage pyoderma, Dr. Rossi says. Some of this has been realized though the transfer of. Treatment of pyoderma is a long process that requires both the owner and the pet considerable endurance and patience. If the infection has penetrated deep into the skin, it will not be easy to cure the animal. Before starting therapy, hair is removed from the affected areas of the epidermis, after which they are worked out with Zelenka or. Pyoderma in dogs—and pyoderma in cats—is very common; it's one of the most common reasons that people bring their pet to the veterinarian. Redness, itchiness and in some cases, partial hair loss, often characterize the infection. Pyoderma treatment in dogs is typically given on an outpatient basis, and the prognosis is excellent

German Shepherd pyoderma is a poorly understood form of deep pyoderma, with likely genetic and immunological predispositions in German Shepherd dogs or their crosses (Figure 4).Treatment is often unrewarding, with relapse after cessation of treatment a common problem Pyoderma gangrenosum is a rare, severe skin disease in which progressive ulceration develops spontaneously or after skin trauma. Unrecognised pyoderma gangrenosum may result in the destruction of an entire leg or arm or large parts of the trunk, and the condition is potentially lethal

Pyoderma gangrenosum - a guide to diagnosis and managemen

Pyoderma gangrenosum DermNet N

Pyoderma gangrenosum is an idiopathic, inflammatory, ulcerative condition of the skin, initially described by Brunsting et al. 1 The characteristic lesion is an ulceration with a well-defined, undermined, violaceous border. 2 Pyoderma gangrenosum has been reported in association with inflammatory bowel disease (IBD), various arthritides, and hematologic diseases. 3-6 Early lesions are often. SPL ® is indicated for the use on dogs with recurrent pyoderma. SPL ® is not a primary treatment to initially eliminate the infection. Rather it is a treatment that prevents recurrence. SPL ® can be initiated at the same time the primary treatment (topical treatment or antibiotics) is started Mucocutaneous pyoderma. Mucocutaneous pyoderma is a rare disease seen in dogs. It affects the lips and peri-oral skin mainly, with lesions occasionally found on the eyelids, vulva, prepuce or anus. The cause is unknown, although a bacterial component is suspected due to the response to antibacterial treatment

Pyoderma gangrenosum - Symptoms and causes - Mayo Clini

Soon as the treatment is started, within several months improvements on the skin condition can be readily seen. If you had previously suffered from pyoderma gangrenosum, you should take the necessary precautionary measures the next time and these include wearing protective garments to prevent any skin injury Sapienza MSCohen SDimarino AJ Treatment of pyoderma gangrenosum with infliximab in Crohn's disease. Dig Dis Sci 2004;491454- 1457 PubMed Google Scholar Crossref 6 Pyoderma in cats is an infectious skin disease caused by an increase in the multiplication of certain bacteria, especially Staphylococcus intermedius.This is a group of cocci found on the skin of our felines. This multiplication can be due to various causes and will result in lesions on the cat's skin such as erythematous papules, scabs, epidermal collarettes or hyperpigmented spots due to the. Pyoderma gangrenosum (PG) is a rare inflammatory wound that is diagnosed once all other possibilities have been eliminated. It occurs mainly in middle-aged patients, 50% of whom have underlying autoimmune conditions. Treatment includes systemic corticosteroids, appropriate dressings, and adequate pain management Pyoderma Gangrenosum. Pyoderma gangrenosum is a chronic, neutrophilic, progressive skin necrosis of unknown etiology often associated with systemic illness and sometimes skin injury. Diagnosis is clinical. Treatment includes wound care and, based on severity, anti-inflammatory drugs or immunosuppressants

Pyoderma can either occur as a single incident or as a result of an underlying issue. If your dog's Pyoderma is turning out to be a chronic condition, it's possible that there is a lot more going on than meets the eye; probably allergies, an autoimmune disorder, or immunosuppression Treatment tends to be long term. Figures. Case Histories of Pyoderma (*note: graphic photos) Fig. 1: Pyoderma involving the bacteria staphylococcus in female rat (Ruby) Fig. 2: Pyoderma of unknown etiology, may be autoimmune Fig. 3: Deep Pyoderma showing abscess with necrotizing fasciitis Fig. 4: Stress related pyoderma in a 15-month-old rat. Pyoderma gangrenosum is an ulcerative disorder that falls into the category of neutrophilic dermatoses. Pyoderma gangrenosum should not be confused with pyogenic granuloma, a completely separate entity but with an equally ill-fitting name. Despite its name, pyoderma gangrenosum is not caused by infection or gangrene. Pyogenic granuloma is often associated with systemic disease Pyoderma gangrenosum is a rare autoimmune condition that causes painful ulcers on the skin. About half of all patients also have other systemic conditions like inflammatory bowel disease (IBD) such as Crohn's disease and ulcerative colitis, blood diseases and blood cancers, rheumatoid arthritis, and ankylosing spondylitis Interdigital pyoderma and pododermatitis. Question: Dear Dr. Richards: I have an 11-year-old shelty named Ben, whom the family love very much. He has a lesion on his right forepaw that seems to fit the description of interdigital pyoderma that you mentioned in a web-posted article involving a dog named Angie

Treatment of pyoderma in the dog typically involves the use of both topical and systemic antibacterial therapies. The practitioner should choose an active ingredient with good activity against Staphylococcus intermedius, the most common cause of canine pyoderma. In the cat, bacterial pyoderma is less common Treatment for Puppy Pyoderma in Jackson When you have a puppy with pyoderma, our animal hospital in Jackson offers treatment. This generally includes using a topical antiseptic product on the affected area for mild cases. In some cases of pyoderma, puppies might also need a topical antibiotic ointment

Pyoderma gangrenosum - a guide to diagnosis and management

About Pyoderma Gangraenosum (PG): PG is a rare and debilitating neutrophil-driven, autoinflammatory skin disease, characterized by an acute, destructive ulcerating process of the skin, primarily occurring on the legs but also other regions of the body Pyoderma gangrenosum (PG) is an uncommon neutrophilic dermatosis that presents as an inflammatory and ulcerative disorder of the skin. In contrast to its name, PG is neither an infectious nor gangrenous condition. The most common presentation of PG is an inflammatory papule or pustule that progresses to a painful ulcer with a violaceous. Over a treatment period of 26 weeks (until day 189), patients were treated biweekly with vilobelimab 800mg, 1600mg or 2400mg, after an initial run-in phase with three doses of 800mg on days 1, 4.

Crohn's disease skin problems: When to see your doctor

Pyoderma in Dogs: A Holistic Treatment Guide Honest Paw

Ecthyma Gangrenosum - Pictures, Treatment, Causes, Diagnosis

Antibiotic Use for Canine Pyoderma. Many diseases have the potential to predispose dogs to the development of superficial pyoderma. In order to appropriately and successfully use antibiotics in the treatment of canine superficial pyoderma, it is important for veterinarians to be familiar with these potential underlying diseases Treatment directed at pyoderma gangrenosum can itself produce substantial complications, or it may adversely affect other causes of ulceration — for example, by promoting the progression of. Abstract. Parastomal pyoderma gangrenosum (PPG) is an unusual neutrophilic dermatosis characterized by painful, necrotic ulcerations occurring in the area surrounding an abdominal stoma. It typically affects young to middle-aged adults, with a slight female predominance. The underlying etiology for PPG remains enigmatic but aberrant immune response to injury may play a pivotal role Treatment of pyoderma gangrenosum: Outside dermatology, the medical diagnosis of PG is frequently thought about just after several and unsuccessful treatment attempts, with antibiotics and surgical debridement. Lesions typically progress when dealt with as infection, and due to pathergy, get worse after surgical procedures (24). Treatment is. Treatment of pyoderma gangrenosum usually involves systemic therapy with high-dose steroids. Intravenous immune globulin (IVIG) may be used where ulceration is resistant to conventional treatment. Abstract. Pyoderma gangrenosum is a neutrophilic dermatosis that may be idiopathic or associated with an underlying disease..

Cat Losing Hair Causes, Solutions and Treatment

Peristomal pyoderma gangrenosum (PPG) is a rare condition seen in patients with inflammatory bowel disease. It causes significant morbidity, complicates stomal care and prolongs the duration of treatment Pyoderma is commonly associated with acute moist dermatitis or hot spots (see handouts Hot Spots in Dogs and First Aid for Hot Spots in Dogs for more information). Skin fold pyoderma is an inflammatory skin disorder that develops in skin folds, such as facial folds, lip folds, and in the groin or armpits. It may develop between the. Since it is a bacterial infection, treatment of most types of pyoderma require a course of antibiotics. However, since pyoderma is usually a secondary condition that results from symptoms related to another problem, it's important to diagnose and treat the original illness or condition while simultaneously clearing up the infection Therapeutic efficacy in the treatment of pyoderma gangrenosum. Arch Dermatol. 1982 Feb. 118(2):76-84. . Zonana-Nacach A, Jimenez-Balderas FJ, Martinez-Osuna P, Mintz G. Intravenous cyclophosphamide pulses in the treatment of pyoderma gangrenosum associated with rheumatoid arthritis: report of 2 cases and review of the literature

Pyoderma In Dogs: Skin Disease Causes & Treatments

Pyoderma gangrenosum is a rare disease, occurring in approximately one person per 100,000, which causes inflammation and ulceration of the skin. Its incidence is usually associated with systemic diseases in approximately 50 percent of patients. Causes. The cause of pyoderma gangrenosum is unknown Treatment In-depth for Pyoderma in Dogs Treatment for pyoderma involves treatment of the underlying cause and elimination of the resulting infection. Surface pyodermas such as hot spots are best treated by clipping of the wound and cleaning with an agent that kills the surface bacteria Lip fold pyoderma treatment options are out there! This inflammatory skin disorder often develops between the folds of dogs' lips, but can also form anywhere else with wrinkles, such as the face, groin or armpit area. Certain breeds are more prone to the development of lip fold pyoderma, also referred to as skin fold dermatitis, including. Pyoderma is a skin infection that can cause itching, redness, crusts, pustules, a rash, and/or hair loss at the site of the infection, among other, grosser symptoms.Dogs and cats both can get the condition, which occurs when something has happened to the skin that allows bacteria to grow unchecked. Pyoderma can be treated with oral or topical antibiotics and/or shampoos, but the underlying.

What is pyoderma gangrenosum? Pyoderma Gangrenosum is an uncommon skin disease that causes deep ulcers and usually occurs on the legs. The cause is unclear however, it has been linked to patients that also have other autoimmune diseases treatment of pyoderma gangrenosum Treatment of PG is targeted at ameliorating the inflammatory process causing the ulcerative lesion. Several factors may influence therapeutic choices, including the number and size of PG lesions, the clinical course of disease (indolent vs more rapidly progressive), the presence of associated illnesses, and.

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Pyoderma refers to skin infections characterized by the presence of subsurface pus. 1. Surface Pyodermas. These are infections that occur on the surface of the skin (e.g. a hotspot), or in skin folds - usually these are places that are hard to be kept clean and dry, and are ideal places for bacteria to grow. 2 Mucocutaneous pyoderma is a local disorder that often develops alongside other dermatological health issues in dogs. Your veterinarian will develop a course of treatment depending on the results of her diagnosis. Superficial bacterial infections are usually to blame, but many additional sources of skin irritation. Pyoderma Gangrenosum Definition. Pyoderma gangrenosum (PG) is a rare ulcerative cutaneous disease first described in 1930. It can develop after a patient suffers injury to the skin. It has two variants: atypical PG, which occurs on the hands, and the classic PG, which affects the legs Pyoderma gangrenosum is an uncommon inflammatory and ulcerative skin disorder characterized histopathologically by the accumulation of neutrophils in the ski..

Treating Canine Superficial Pyoderma in the Era of

Treatment. Treatment of pyoderma gangrenosum is aimed at reducing inflammation, controlling pain, promoting wound healing and controlling any underlying disease. Your treatment will depend on several factors, including your health and the number, size, depth and growth rate of your skin ulcers Pyoderma gangrenosum treatment for bigger lesions. The larger lesions may be treated by the intense therapy comprising of one or more of the following. Corticosteroids: this is the best treatment for pyoderma gangrenosum. It is very effective when it is given in the required doses and applied correctly as required What is Pyoderma? Pyoderma is a commonly treated skin condition in dogs. Pyoderma literally means pus in the skin, and is characterised by a bacterial infection of the epidermis (skin) and hair follicles.. Your dogs skin will always have a low level of staphylococcus and other bacteria on its surface, and in normal situations the skins defence system prevents the bacteria entering the. Pyoderma Gangrenosum is a non-infectious, progressive necrotizing skin condition. Half of all patients with the disease have a systemic inflammatory system..

Pyoderma Gangrenosum. A clinical trial has demonstrated that infliximab is superior to placebo in the treatment of pyoderma gangrenosum. Pyoderma gangrenosum is a chronic ulcerating skin condition that often occurs in association with inflammatory bowel disease. Pyoderma gangrenosum is treated by managing the underlying cause Pyoderma gangrenosum is often difficult to treat and may take some time to heal. More than one treatment may need to be tried. Skin grafts and surgery are not treatment options as they often fail and may cause enlargement of the ulcer. Treatment depends on the severity of the disease 3. Treatment of Equine Pyoderma The antibiotic usually used for many bacterial skin infections in the horse is trimethoprim sulfa orally (30 mg/kg, q 12 h for 2-6 wk, longer for deep infec-tions).6 Interestingly, dosing intervals for IV ad-ministration of trimethoprim-sulfamethoxazole in horses may not be appropriate for use in donkeys or mules The main symptom of pyoderma gangrenosum is a painful skin sore. Sores may begin as small bumps from an injury. However, a sore can grow up to 7.9 in (inches) (20 cm [centimeters]). The sores often have purple edges that look worn