Caroline Fife M.D.
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Amputations in Pyoderma Gangrenosum Patients: Underreported or Very Rare? | Today’s Wound Clinic

Amputations in Pyoderma Gangrenosum Patients: Underreported or Very Rare? | Today’s Wound Clinic

by Caroline Fife, M.D. | Jan 12, 2023 | Fight the Good Fight, Pyoderma Gangrenosum

In my 30-plus years of practicing wound care, I have developed an unwelcome amount of experience with Pyoderma gangrenosum. It’s not been uncommon for me to have 8 patients with PG at any given time (and I’m sure I’ve missed some). PG can range in spectrum from a...
At Last! Hope for Patients with Pyoderma Gangrenosum! Share This Information About a Clinical Trial.

At Last! Hope for Patients with Pyoderma Gangrenosum! Share This Information About a Clinical Trial.

by Caroline Fife, M.D. | Aug 30, 2022 | Fight the Good Fight, Pyoderma Gangrenosum

Pyoderma gangrenosum (PG) is an inflammatory skin disorder that causes excruciatingly painful skin ulcerations. It’s supposed to be rare, but it’s only rarely diagnosed. At any given time, I will have 8 or 10 patients with PG in my practice. Biopsies fail to diagnose...
Pyoderma Gangrenosum, PASH, and Playing the Odds

Pyoderma Gangrenosum, PASH, and Playing the Odds

by Caroline Fife, M.D. | Aug 18, 2022 | Fight the Good Fight, Pyoderma Gangrenosum

This is a story that only happens in the world of chronic wounds. It illustrates why wound care practitioners need to keep asking “What is this wound a symptom OF?” It also illustrates why patients often get worse care as a result of medical specialization because the...
The Many Faces of Pyoderma Gangrenosum – This is Not a Pressure Injury

The Many Faces of Pyoderma Gangrenosum – This is Not a Pressure Injury

by Caroline Fife, M.D. | Sep 28, 2021 | Fight the Good Fight, Pyoderma Gangrenosum

An adult patient with severe cerebral palsy developed several pressure ulcers after hospital admission for pneumonia. This one has persisted for many months. While it’s possible that the trauma that initiated it was a pressure injury, this is pyoderma gangrenosum....
The Many Faces of Pyoderma Grangrenosum – a Leg Ulcer Present for a Year

The Many Faces of Pyoderma Grangrenosum – a Leg Ulcer Present for a Year

by Caroline Fife, M.D. | Sep 27, 2021 | Fight the Good Fight, Pyoderma Gangrenosum

39 y.o. woman with a non-healing left anterior shin ulcer which had been present for a year after minor trauma. Her father and her daughter have autoimmune diseases but she has no such diagnosis, nor does she have joint pain or bowel problems. The wound began as a red...
Hidden in Plain Sight: Pyoderma Gangrenosum

Hidden in Plain Sight: Pyoderma Gangrenosum

by Caroline Fife, M.D. | Sep 24, 2021 | Pyoderma Gangrenosum, Uncategorized

I am going to post a series of patients with confirmed or presumed pyoderma gangrenosum, most of who’s biopsy findings did not confirm the diagnosis. However, their response to a trial of prednisone was dramatic and the wounds closed with prednisone (or in some cases,...
Pyoderma Gangrenosum (PG) Hiding in Plain Sight

Pyoderma Gangrenosum (PG) Hiding in Plain Sight

by Caroline Fife, M.D. | Sep 23, 2021 | Fight the Good Fight, Pyoderma Gangrenosum

I have an entire clinic full of patients with pyoderma gangrenosum. Nearly all of them were missed at other wound centers. I am going to post a series of PG cases in hopes that the information will help clinicians and patients identify this disease which is not so...
Pyoderma Gangrenosum (PG): Not So Rare, and When in Doubt, Take a History.

Pyoderma Gangrenosum (PG): Not So Rare, and When in Doubt, Take a History.

by Caroline Fife, M.D. | Sep 9, 2019 | Pyoderma Gangrenosum

Pyoderma Gangrenosum (PG) is one of the most painful wounds we see each year. It is  called a “rare” disorder with an estimated incidence of 3 to 10 cases per million people per year.(1) That would mean there are about 20 new cases of PG in Houston, Texas each year....
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  • View It for Free: A Paradigm Shift in Mitigating Severe Pressure Ulcer Malpractice Claims January 31, 2023
  • Advocates Split on the Benefit of Banning Non-Compete Clauses! January 26, 2023
  • Join Eva Sevick, PhD and Me Wednesday Evening for “Myths Debunked! How Imaging is Changing Patient Treatment Plans” – It’s FREE! January 23, 2023
  • Join Me Wednesday for “The X Factor: A Paradigm Shift in Mitigating Severe Pressure Ulcer Malpractice Claims” – It’s FREE! January 23, 2023
  • Reminder: Myths Debunked! How Imaging is Changing Patient Treatment Plans Starts in Less Than 1 Week January 20, 2023

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