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Pyoderma gangrenosum in ulcerative colitis - An exuberant and painful complication
Margarida Gonçalves1, Ana Rebelo2, Raquel Gonçalves3
1Gastrenterology, Braga Hospital, Portugal.
Abstract:
A 41-years-old female, with ulcerative colitis, presented to the emergency department with 7-days history of abdominal pain, bloody stools (> 10/day). The patient referred the appearance of a cutaneous lesion, on her left thigh, with subsequent appearance of similar lesions on the lower limbs. No improvement after amoxicillin/clavulanic acid. On admission, she was febrile (38.2 ºC) and tachycardic. She had three cutaneous lesions, the largest one with 8cm in the left thigh - a deep and painful lesion, with extensive ulceration, necrosis, exudative edges and with marked pathergia, compatible with pyoderma gangrenosum.
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