Presentation of atypical bullous pyoderma gangrenosum
Simonsen, A.Birgitte.; Olesen, A.Braae.
Ugeskrift for Laeger 173(35): 2130-2131
2011
ISSN/ISBN: 0041-5782 PMID: 21884665 Document Number: 649058
Pyoderma gangrenosum (PG) is a rare, ulcerative skin disease. Atypical PG is characterized by rapidly evolving painful vesicles and enlarging bullae. Minor trauma or surgery is considered the cause in 25-50% of PG lesions. PG often mimics necrotizing infection and may therefore be inadequately treated. We present a patient with rapidly progressing bullous PG. The lesions were initially treated surgically, which led to exacerbation of the ulcers. A decision of surgery should be preceded by bacterial culture and microscopy and in case of uncertain diagnosis also by histopathologic examination.