Aghaei Reza, Hsu Edmund, McCoy Christopher
Kaiser Permanente, Central Valley, Department of Emergency Medicine, Modesto, California.
University of California, Irvine, Department of Emergency Medicine, Orange, California.
Clin Pract Cases Emerg Med. 2025 May;9(2):242-244. doi: 10.5811/cpcem.1675.
We describe a middle-aged female with past medical history of ulcerative colitis presenting to the emergency department with bilateral painful ulcers rapidly growing on her lower legs in the prior four weeks. She was consulted by a dermatologist and after a thorough clinical and pathology assessment (as a diagnosis of exclusion), treatment for pyoderma gangrenosum was started.
Pyoderma gangrenosum is a painful, chronic, ulcerative disorder often occurring in association with systemic disease. We review the clinical presentation of pyoderma gangrenosum and its complications. We describe the characteristics of ulcers with pictures from the patient. Our case illustrates the findings of pyoderma gangrenosum both clinically and pathologically.
我们描述了一名中年女性，她有溃疡性结肠炎病史，因在过去四周内小腿上迅速出现双侧疼痛性溃疡而就诊于急诊科。皮肤科医生对她进行了会诊，经过全面的临床和病理评估（作为排除性诊断）后，开始了对坏疽性脓皮病的治疗。
坏疽性脓皮病是一种疼痛的慢性溃疡性疾病，常与全身性疾病相关。我们回顾了坏疽性脓皮病的临床表现及其并发症。我们通过患者的图片描述了溃疡的特征。我们的病例在临床和病理上都展示了坏疽性脓皮病的表现。
