Tay Y K, Friednash M, Aeling J L
Division of Pediatric Dermatology, University of Colorado Health Sciences Center, Denver, USA.
Arch Fam Med. 1998 Jul-Aug;7(4):377-80. doi: 10.1001/archfami.7.4.377.
Pyoderma gangrenosum is an uncommon ulcerative skin disorder that is often associated with underlying systemic diseases, the most common of which is inflammatory bowel disease. We report an illustrative case of a 36-year-old woman with pyoderma gangrenosum occurring at surgical sites and at sites of trauma. She had associated Crohn disease. Multiple surgical procedures were performed on this patient, without improvement. Pyoderma gangrenosum can mimic a necrotizing soft tissue infection. Early recognition of the characteristic lesion may prevent unnecessary operations and facilitate effective control with appropriate medical therapy.
坏疽性脓皮病是一种罕见的溃疡性皮肤病，常与潜在的全身性疾病相关，其中最常见的是炎症性肠病。我们报告一例说明性病例，一名36岁女性的坏疽性脓皮病发生在手术部位和创伤部位。她患有克罗恩病。对该患者进行了多次外科手术，但病情没有改善。坏疽性脓皮病可能会误诊为坏死性软组织感染。早期识别特征性病变可避免不必要手术，并通过适当的药物治疗促进有效控制。
