Atypical Pyoderma Gangrenosum in the Setting of Venous and Arterial Insufficiency
| Autor: | Enjae Jung, Alex G. Ortega-Loayza, Jesse J. Keller, Luis J. Borda, Timothy K. Liem, Lulu L. Wong |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
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 |
| Zdroj: | The International Journal of Lower Extremity Wounds. 22:418-422 |
| ISSN: | 1552-6941 1534-7346 |
| DOI: | 10.1177/15347346211002334 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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