Pyoderma gangrenosum: a difficult early diagnosis to make

Pyoderma gangrenosum: a difficult early diagnosis to make Pyoderma gangrenosum (PG) is a rare, painful, non-infectious, ulcerative, inflammatory skin condition. It is characterised by ulcers that can spread rapidly showing undermined violaceous borders. It may develop at sites of trauma or in surgical wounds. Early diagnosis is not always easy as there is no single diagnostic test and clinical features are often indistinguishable from other more common ulcerative skin conditions. Diagnosis is made on clinical appearance, patient history and exclusion of other conditions. We describe a case of PG, which proved challenging to diagnose, in a man who presented initially with a non-healing leg ulcer at a site of previous trauma and surgery. He subsequently developed further lesions on the contralateral leg with the classical appearance of PG. PG is a condition, which may be encountered by plastic surgeons and should always be considered in the differential diagnosis of any ulcer. European Journal of Plastic Surgery Springer Journals

Pyoderma gangrenosum: a difficult early diagnosis to make

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Copyright © 2007 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
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