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Atypical Pyoderma Gangrenosum in the Setting of Venous and Arterial Insufficiency
- 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.
- Subjects :
- medicine.medical_specialty
business.industry
General Medicine
medicine.disease
Dermatology
Venous leg ulcer
Arterial insufficiency
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
030220 oncology & carcinogenesis
Etiology
medicine
Surgery
business
Pyoderma gangrenosum
Subjects
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