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Updated: Mar 27, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Pyoderma gangrenosum-like oral ulcerations in an elderly patient
Ruchadaporn Kaomongkolgit1, Keskanya Subbalekha2, Wanlada Sawangarun1
1Department of Oral Diagnosis, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand.
Objective:
To present a case of pyoderma gangrenosum (PG)-like oral ulcerations in an elderly patient.
Background:
PG is an uncommon idiopathic, ulcerative, chronic inflammatory cutaneous disorder of unknown etiology, which is associated with systemic diseases found in more than 50% of patients. Oral lesions of PG are extremely rare and have not been previously reported on chronic leukemia patient.
Clinical Report:
This report presents the first case of a 73 year-old man who had PG-like oral ulcerations which offered the possibility of an initial finding of chronic myeloid leukemia.
Conclusion:
Clinicians should always take into consideration that PG in the oral mucosa is a recalcitrant ulcer and can precede the development of underlying clonal malignancy.
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