Service d'orthopédie-traumatologie, hôpital universitaire de Limoges, 2, avenue Martin-Luther-King, 87000 Limoges, France.
Service d'orthopédie-traumatologie, hôpital universitaire de Limoges, 2, avenue Martin-Luther-King, 87000 Limoges, France.
Orthop Traumatol Surg Res. 2017 Jun;103(4):615-617. doi: 10.1016/j.otsr.2017.01.009. Epub 2017 Mar 10.
A case of post-traumatic lower-limb pyoderma gangrenosum (PG) in a 77-year-old female is reported. The diagnosis of PG is frequently one of exclusion, and it is therefore unsurprising that the condition was initially mistaken for necrotising fasciitis then for necrotising bacterial dermo-hypodermitis. Medical and surgical treatment for those conditions proved ineffective. This fact, together with the atypical presentation, promoted a re-evaluation of the diagnosis. The clinical findings and investigation results converged to suggest PG, and a therapeutic trial was initiated. The good treatment response and negative findings from tests for other conditions established the diagnosis of post-traumatic PG.
现报告一例 77 岁女性创伤后下肢坏疽性脓皮病（PG）。PG 的诊断通常需要排除其他疾病，因此该患者最初被误诊为坏死性筋膜炎，然后又被误诊为坏死性细菌性真皮皮下组织炎并不奇怪。针对这些疾病的医疗和手术治疗均无效。这一事实，再加上其非典型表现，促使我们重新评估诊断。临床发现和检查结果提示 PG，于是进行了治疗试验。良好的治疗反应和其他疾病检查的阴性结果确立了创伤后 PG 的诊断。
