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Contributor

Kosman Sadek Zikry, MD

Diagnosis

pyoderma gangrenosum

Body Site

foot ankle

Age

30 years

Pigmentation

dark

Organization

grouped, clustered

Color

yellow purple brown

Morphology

ulcerated (erosion / ulcer)

Pattern

asymmetric

Comments

This 30-year-old man had recurrent painful ulcers of the right ankle which healed with scarring. The clinical course and histologic findings were typical of pyoderma gangrenosum. Cultures were negative for bacteria, atypical mycobacteria, and fungi, and a thorough medical evaluation failed to reveal an associated underlying medical disorder. These ulcers healed with high dose oral steroids.

Description

punched out undermined ulcers with yellow exudate on a violaceous hyperpigmented fibrotic base

Categories

ulcer cutaneous sign of systemic disease

Image Added

10/27/2004 22:34:14

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Other Resources

PubMed Medline Plus Medscape

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