Back to Search Start Over

Atypical Pyoderma Gangrenosum in the Setting of Venous and Arterial Insufficiency

Authors :
Enjae Jung
Alex G. Ortega-Loayza
Jesse J. Keller
Luis J. Borda
Timothy K. Liem
Lulu L. Wong
Source :
The International Journal of Lower Extremity Wounds. 22:418-422
Publication Year :
2021
Publisher :
SAGE Publications, 2021.

Abstract

Ulcers of mixed etiology are diagnostically elusive and challenging to treat, especially when rare conditions are superimposed. Pyoderma gangrenosum (PG) is an autoinflammatory, ulcerative skin disease that is difficult to diagnose. Diagnostic criteria exist but there are no specific clinical tests to identify it. We discuss a case of PG initially diagnosed as venous ulcer in the setting of peripheral artery disease, complicated by superinfection, refractory to standard wound care, multiple surgical debridements, revascularization, negative pressure therapy, and parenteral antibiotics. Findings differentiating PG from other wound etiologies are explored, with the aim of improving clinical recognition of this condition.

Details

ISSN :
15526941 and 15347346
Volume :
22
Database :
OpenAIRE
Journal :
The International Journal of Lower Extremity Wounds
Accession number :
edsair.doi.dedup.....057f715140e07d923fbb9aa1195b0c17
Full Text :
https://doi.org/10.1177/15347346211002334