Acute Bullous Hemorrhagic Pyoderma Gangrenosum: Pitfalls of Diagnostic Delay

Newell, E. L.; Chaudhry, S. I.; Black, M. M.
January 2008
Journal of Bone & Joint Surgery, American Volume;Jan2008, Vol. 90-A Issue 1, p174
Academic Journal
Case Study
This article presents a case study that illustrates the dangers of diagnostic delay with patients suffering from acute bullous hemorrhagic pyoderma gangrenosum, an uncommon inflammatory skin disease that causes progressive, painful cutaneous ulceration. A twenty-one-year-old woman was presented at a hospital emergency department with a blister on her leg that had not responded to topical antibiotics. Pyoderma gangrenosum was suspected and computed tomography and sigmoidoscopy revealed no underlying disease. After immunosuppressive therapy and skin grafting, the patient made a full recovery and avoided a contemplated amputation.


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