Pyoderma gangrenosum of the hand.
Pyoderma gangrenosum is a rare, painful, ulcerative neutrophilic dermatosis that is not usually seen on the hands. Pyoderma gangrenosum is a diagnosis of exclusion, as there are no specific laboratory or histopathologic findings to confirm the diagnosis. Heightened awareness and early recognition are needed to decrease morbidity in these patients.
Maaike Schotanus, MD, is a Surgical Resident; Naomi van Hout, MD, is a Surgical Resident; and Dagmar Vos, MD, is a Surgeon; all in the Department of Surgery, Amphia Hospital, Breda, the Netherlands. The authors have disclosed that they have no financial relationships related to this article. Submitted March 15, 2013; accepted in revised form August 6, 2013.
Maaike
M
Schotanus
Naomi
N
van Hout
Dagmar
D
Vos
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006229:Hand Dermatoses / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D017511:Pyoderma Gangrenosum / Q000175:diagnosis* / Q000628:therapy; D035583:Rare Diseases; D012720:Severity of Illness Index; D012883:Skin Ulcer / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
D000900:Anti-Bacterial Agents; D007166:Immunosuppressive Agents