Any suggestions on the best course of treatment for pyro derma gang?

Pyoderma gangrenosum: Pyoderma gangrenosum is an inflammatory necrotizing non infectious ulcertive skin disease, often with enlarging ulcerations on the legs. See your dermatologist for diagnosis and therapy. Hospitalization may be necessary in severe cases. Mny patients need immunosuppressant therapy . Cyslosporin can be used. Also tnf Alpha inhibitor biologics such as inflizimab or Etanercept can be used.

Polymem Pink Dressin: Pyoderma gangrenosum is classified as a neutrophilic dermatosis and is considered a reaction to an internal disease or condition. I have used these dressings with good results - polymem pink dressing - no need to wash or clean the wound the dressing itself helps clean the area. Orally take vitamin k2 and methionine supplements. For severe pain can use steroids locally around the wound bed.