Atypical Pyoderma Gangrenosum in the Setting of Venous and Arterial Insufficiency.

Ulcers of mixed etiology are diagnostically elusive and challenging to treat, especially when rare conditions are superimposed. Pyoderma gangrenosum (PG) is an autoinflammatory, ulcerative skin disease that is difficult to diagnose. Diagnostic criteria exist but there are no specific clinical tests...

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Publicado en:International Journal of Lower Extremity Wounds Vol. 22; no. 2; pp. 418 - 423
Autores principales: Wong, Lulu L., Borda, Luis J., Liem, Timothy, Keller, Jesse J., Ortega-Loayza, Alex G., Jung, Enjae
Formato: case study pictorial tables/charts Journal Article
Publicado: Sage Publications Inc. Jun2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2023
      vid: 22
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Atypical Pyoderma Gangrenosum in the Setting of Venous and Arterial Insufficiency.
      aug:
        au:
          Wong, Lulu L.
          Borda, Luis J.
          Liem, Timothy
          Keller, Jesse J.
          Ortega-Loayza, Alex G.
          Jung, Enjae
        affil: 12235University of Miami Miller School of Medicine, Miami, FL, USA
      sug:
        subj:
          Pyoderma Gangrenosum Etiology
          Pyoderma Gangrenosum Diagnosis
          Pyoderma Gangrenosum Therapy
          Venous Ulcer Therapy
          Peripheral Vascular Diseases Complications
          Wound Care Methods
          Female
          Middle Age
          Leg Ulcer Therapy
          Skin Pathology
          Debridement Methods
          Negative Pressure Wound Therapy Methods
          Revascularization Methods
          Antibiotics Therapeutic Use
          Middle Aged: 45-64 years
          Female
      ab: Ulcers of mixed etiology are diagnostically elusive and challenging to treat, especially when rare conditions are superimposed. Pyoderma gangrenosum (PG) is an autoinflammatory, ulcerative skin disease that is difficult to diagnose. Diagnostic criteria exist but there are no specific clinical tests to identify it. We discuss a case of PG initially diagnosed as venous ulcer in the setting of peripheral artery disease, complicated by superinfection, refractory to standard wound care, multiple surgical debridements, revascularization, negative pressure therapy, and parenteral antibiotics. Findings differentiating PG from other wound etiologies are explored, with the aim of improving clinical recognition of this condition.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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