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Atypical Pyoderma Gangrenosum in 92-Year-Old Patient


Authors: E. Topinková 2;  J. Klán 1;  D. Pelíšková 1;  I. Doleželová 2
Authors‘ workplace: Geriatrická klinika 1. LF UK a VFN, Praha 2Subkatedra gerontologie a geriatrie Institutu pro další vzdělávání lékařů a farmaceutů, Praha 1
Published in: Čas. Lék. čes. 2004; : 481-484
Category:

Overview

Pyoderma gangrenosum (PG) is rather rare chronic dermatosis presenting as cutaneous necrosis followed bydevelopment of expanding chronic ulcer with well-demarcated, undermined, violaceous borders. Diagnosis of PGis predominantly based on the clinical presentation and course. Histopathologic findings may be non-specific. Halfof patients suffer from a somaticsy stemic disease. We describe 92-year-old lady presenting with large non-healingulcer of the anterolateral calf with the diagnosis of atypical PG. In a discussion differential diagnosis of cutaneousulcers mimicking PG is reviewed and the treatment possibilities summarised.

Key words:
pyoderma gangrenosum, advanced age, differential diagnosis, treatment.

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Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist
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