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Pyoderma gangrenosum of the hand
Maaike Schotanus1, Naomi van Hout, Dagmar Vos
1Maaike 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.
Advances in Skin & Wound Care
|January 21, 2014
Summary
Pyoderma gangrenosum is a rare, painful skin condition. Early recognition is crucial as it
Area of Science:
- Dermatology
- Immunology
Background:
- Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis.
- It presents as painful ulcerative lesions.
- PG commonly affects the legs but can occur elsewhere.
Observation:
- This case highlights PG occurring on the hands, an unusual site.
- The diagnosis of PG is challenging due to its exclusion criteria.
- No specific diagnostic markers exist for PG.
Findings:
- The patient presented with ulcerative lesions on the hands.
- Differential diagnoses were considered and excluded.
- Histopathology and laboratory findings were non-specific for PG.
Implications:
- Increased awareness of atypical presentations of PG is necessary.
- Prompt diagnosis and management can reduce patient morbidity.
- Further research into diagnostic markers for PG is warranted.
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