Evidence map›Paper›PMID 41551110›Full record

ArticleSAGE open medical case reports2026

Ulcerative pyoderma gangrenosum in a 78-year-old woman treated with brodalumab: A case report.

Sarah Aly, Hiba Elhaj, Ahmad Alamari, Catherine Zhu, Christine Motyka, Elena Netchiporouk

Abstract readCase Reports
In one paragraph

Article in SAGE open medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sarah AlyFaculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Hiba ElhajFaculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Ahmad AlamariDivision of Dermatology, McGill University Health Centre, Montreal, QC, Canada.
Catherine ZhuDivision of Dermatology, McGill University Health Centre, Montreal, QC, Canada.
Christine MotykaDivision of Dermatology, McGill University Health Centre, Montreal, QC, Canada.
Elena NetchiporoukDivision of Dermatology, McGill University Health Centre, Montreal, QC, Canada.ORCID https://orcid.org/0009-0007-5056-2596

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pyoderma gangrenosum is a rare neutrophilic dermatosis, that is, often recalcitrant to conventional therapies. Biologics targeting specific inflammatory pathways, including IL-17, are emerging as alternative treatment options in refractory cases. We report a case of severe, ulcerative pyoderma gangrenosum in a 78-year-old woman with complex comorbidities, including advanced sarcoma and prior venous thromboembolism, which precluded use of several immunosuppressive agents. The patient was refractory to corticosteroids, dapsone, and roflumilast, and developed recurrent Gram-negative infections. Initiation of brodalumab, an anti-IL-17RA monoclonal antibody, led to rapid ulcer improvement and sustained clinical response, with successful tapering of systemic steroids. Brodalumab may offer a safe and effective treatment option in refractory pyoderma gangrenosum, particularly in patients with contraindications to conventional therapies. This case supports further evaluation of IL-17 pathway inhibition in neutrophilic dermatoses.

Indexed as

biologic therapybrodalumabIL-17 inhibitorpyoderma gangrenosumrefractory ulcer

Identifiers

PMID41551110
PMCPMC12804646

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.