Pyoderma Gangrenosum, Ulcer - DermAtlas

Contributor

Alison Young, MD

Diagnosis

pyoderma gangrenosum ulcer

Body Site

leg ankle

Age

50 years

Pigmentation

light

Organization

Color

purple red

Morphology

ulcerated (erosion / ulcer)

Pattern

solitary

Comments

A 50-year-old woman, with systemic lupus erythematosus and antiphospholipid syndrome, developed progressive painful ulcers for several months. Biopsies showed necrosis and chronic inflammation, and cultures for bacteria, fungi, and mycobacteria were negative. The undermined borders ulcerated, and the lesions eventually healed after aggressive therapy with high dose pulsed steroids an oral cyclosporine.

Description

undermined ulcer with hemorrhagic border and surrounding petechiae

Image Added

8/26/2003 23:11:10

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Other Resources

PubMed Medline Plus Medscape

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