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Case Report

A challenging diagnosis: case report of extensive pyoderma gangrenosum at multiple sites

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Pages 105-109 | Published online: 26 Mar 2014

Figures & data

Figure 1 (A) Sacral pyoderma gangrenosum after multiple debridements. (B) Huge abdominal and left thigh wound defect with typical violaceous borders post-debridement.

Figure 1 (A) Sacral pyoderma gangrenosum after multiple debridements. (B) Huge abdominal and left thigh wound defect with typical violaceous borders post-debridement.

Figure 2 Histology of incisional biopsy of abdominal ulcer. (A) Extensive skin ulceration is shown (H&E stain; original magnification ×10). (B) Higher-powered view of ulcer being covered by inflamed crust and infiltrated by a heavy collection of acute inflammatory cells (neutrophils) (H&E stain; ×20).

Abbreviation: H&E, hematoxylin and eosin.
Figure 2 Histology of incisional biopsy of abdominal ulcer. (A) Extensive skin ulceration is shown (H&E stain; original magnification ×10). (B) Higher-powered view of ulcer being covered by inflamed crust and infiltrated by a heavy collection of acute inflammatory cells (neutrophils) (H&E stain; ×20).

Figure 3 After treatment with immunosuppressive medications, appearance of sacral (A) and abdominal and left thigh (B) pyoderma gangrenosum.

Figure 3 After treatment with immunosuppressive medications, appearance of sacral (A) and abdominal and left thigh (B) pyoderma gangrenosum.