Pustular pyoderma gangrenosum.
A 79-year-old woman was admitted to our hospital with pustular pyoderma gangrenosum and an associated IgG kappa monoclonal gammopathy. The patient is currently being evaluated for possible multiple myeloma. IgG multiple myeloma and IgG monoclonal gammopathies are very rare in patients with pyoderma gangrenosum. The skin lesions are improving with the use of prednisone.
Department of Dermatology, New York University, New York, New York, USA.
Marie
M
Leger
Tracey
T
Newlove
Julie
J
Chu
Shane
S
Meehan
Jennifer
J
Stein
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement; D005189:False Positive Reactions; D005260:Female; D016508:Fluorescent Treponemal Antibody-Absorption Test; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis*; D007871:Leg Ulcer / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D009101:Multiple Myeloma; D009504:Neutrophils / Q000473:pathology; D010265:Paraproteinemias / Q000150:complications*; D011241:Prednisone / Q000627:therapeutic use; D017511:Pyoderma Gangrenosum / Q000188:drug therapy / Q000209:etiology*; D012086:Reoperation
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D007074:Immunoglobulin G; D011241:Prednisone