Download PDF

ES Journal of Case Reports

DOI: 10.59152/ESJCR/1043

ISSN: 2767-6560

Case Report and Literature Review: A Severe Case of Pyoderma Gangrenosum Approached with Regenerative Medicine

  • Case Report

  • Yomira N Ortiz-Avilez1, Perla Palafox-Herrera1, Siddhartha Palacios2, Selem Torres1, Miguel Ramirez-Amezcua1, Diana Esquivel1,3*
  • 1Instituto de Terapia Celular, Mexico
  • 2Clinic Yolia, Mexico
  • 3Global Institute of Stem Cell and Research, Mexico
  • *Corresponding author: M.Sc. Diana Esquivel, Head of the laboratories of GIOSTAR, Mexico.
  • Received: August 30, 2023;Accepted: September 07, 2023; Published: September 13, 2023


Pyoderma gangrenosum (PG) is a challenging autoinflammatory neutrophilic dermatoses (ND) condition characterized by painful skin alterations leading to ulceration and tissue necrosis. Regenerative medicine (RG) offers promising strategies for addressing these challenges. Diverse therapies including mesenchymal stem cells (MSC), MSC-exosomes, tilapia skin grafts with fibroblast growth factors (FGF), and antioxidants like Vitamin C (VitC), have demonstrated effectiveness in promoting wound healing, reducing inflammation, and restoring tissue function. This paper offers comprehensive insights into the pathogenesis, epidemiology, and conventional treatment approaches for PG, while also providing a concise review of pertinent RM therapies. In this case report, a severe case of PG is managed with a combination of RM therapies, with remarkable results. A 73-year-old patient experienced persistent ulceration, pain, and edema despite conventional treatments. The administration of IV (Intravenous) MSCs, MSC-exosomes, tilapia skin graft, FGF, and VitC resulted in significant improvement in wound healing, pain reduction, and inflammation control. This case demonstrates the potential use of RM therapies in managing complex dermatological conditions like PG. The integration of regenerative approaches provides hope for patients with challenging conditions, potentially leading to enhanced outcomes and reduced recovery times. As PG remains a difficult-to-treat condition, RM holds promise as a valuable alternative therapy option for patients facing these severe dermatoses conditions.


Exosomes, Fibroblast Growth Factors, Mesenchymal Stem Cells, Pyoderma Gangrenosum, Tilapia Skin Graft.