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A case of pyoderma gangrenosum in hand surgery.

Authors
  • Anger, F1
  • Curvale, C2
  • Legré, R2
  • 1 Service de chirurgie orthopédique et traumatologie, hôpital d'instruction des Armées Sainte-Anne, 2, boulevard Sainte-Anne, 83200 Toulon, France. Electronic address: [email protected] , (France)
  • 2 Service de chirurgie de la main, hôpital de la Timone, AP-HM, 264, rue Saint Pierre, 13385 Marseille cedex 5, France. , (France)
Type
Published Article
Journal
Hand surgery & rehabilitation
Publication Date
Oct 01, 2019
Volume
38
Issue
5
Pages
332–334
Identifiers
DOI: 10.1016/j.hansur.2019.07.012
PMID: 31398490
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis that can take many clinical forms. Its diagnosis is difficult and often delayed. We report the case of a 36-year-old man with PG complicating a chemical burn of the wrist. This mode of atypical onset delayed the diagnosis and the initiation of appropriate treatment. This was not sufficient since the patient's hand was amputated at his request because of unbearable pain, and failed treatment. Surgeons should be aware of this pathology in cases of rapidly progressing ulcers, especially if aggravated by repeated debridement. Copyright © 2019. Published by Elsevier Masson SAS.

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