Persistent peristomal pain due to an exposed cutaneous nerve

JAAD Case Reports 2026 Open access

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Authors: Iain Noel Encarnacion, Kaylin Beiter, Natasha Chandini Hakkal, Emily Z. Hejazi, Paul Hernandez, Melissa Ronni Laughter, Shannon T. Nugent, Samir I. Thaker, Xiaowei Xu, Misha A. Rosenbach
DOI: 10.1016/j.jdcr.2026.02.013
Cited by: 0
References: 3

Abstract

A 25-year-old woman with a history of ulcerative colitis treated with multiple abdominal surgeries complicated by peristomal pyoderma gangrenosum (PPG) presented with severe peristomal pain and ulceration. Treatment course was complicated; disease control was achieved via combination infliximab 10 mg/kg every 4 weeks, corticosteroids (topical triamcinolone 0.1% ointment, intralesional 10 mg/ml injections, and oral prednisone 30 mg daily with a gradual taper), and cyclosporine 125 mg tapering by 25 mg every 3 weeks, ultimately tapered to infliximab monotherapy.

Fields of Study & Subjects

Stoma care and complications Autoimmune and Inflammatory Disorders Pressure Ulcer Prevention and Management

Publication details

Journal / source
JAAD Case Reports
Volume
70
Pages
172–174
Publication date
13 February 2026
Language
EN