Pyoderma Gangrenosum, Lupus Erythematosus, Systemic - DermAtlas

Contributor

Grant Anhalt, MD

Diagnosis

pyoderma gangrenosum lupus erythematosus, systemic

Body Site

leg ankle

Age

50 years

Pigmentation

light

Organization

Color

purple red

Morphology

ulcerated (erosion / ulcer)

Pattern

solitary

Comments

These findings of a suppurative granulomatous process without a leukocytoclastic vasculitis are consistent with clinical diagnosis of pyoderma gangrenosum. Special stains failed to reveal infection.

Description

A skin biopsy obtained from the ulcer border showed edema, superficial perivascular lymphocytic infiltrate, and massive deep dermal neutrophilic infiltration, thrombosis of small and medium sized vessels, necrosis, hemorrhage, and abscess formation.

Image Added

5/10/2003 18:39:09

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PubMed Medline Plus Medscape

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