Pyoderma gangrenosum: diagnostic and therapeutic challenge
Carron, P.-N.; Yerly, S.ép.; Ksontini, R.; Calandra, T.; Meylan, P.
Revue Medicale Suisse 4(170): 1938-1940; 1942-1943
2008
ISSN/ISBN: 1660-9379 PMID: 18847123 Document Number: 616522
Pyoderma gangrenosum is a rare ulcerative disease associated with inflammatory bowel disease, arthritis or haematological malignancies. The diagnosis of Pyoderma gangrenosum is often delayed while consideration is given to the more likely diagnoses of wound breakdown or bacterial infection. The outcome depends on early diagnosis and on excellent collaboration between the surgical team and the infectious disease specialist. We present two puzzling cases of Pyoderma gangrenosum and discuss the physiopathology, the diagnosis strategy and the management.