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Pyoderma Gangrenosum of the Hand: Unique Experience and Literature Review
Soo-Hwan Kang1,2, Il-Jung Park3, Ji Won Yoo4
1Department of Orthopaedic Surgery, St. Vincent's Hospital, Suwon, Gyeonggi-do, Republic of Korea.
Background:
Pyoderma gangrenosum (PG) is a reactive, noninfectious, neutrophilic dermatosis. Diagnosis of PG is based on exclusion, due to lack of availability of a confirmatory test. PG is not caused by infection or gangrene. Misdiagnosis or delayed diagnosis of PG can lead to devastating results.
Case Presentation:
In this report, we present a patient with a delayed diagnosis of PG lesion on right hand. Despite initial surgical treatment, the wound was aggravated, and amputation was considered; however, it was eventually treated successfully with an autologous split thickness skin graft.
Conclusions:
Knowledge of the PG is essential to actively consider PG in early stage to help facilitate immediate treatment and avoid unnecessary interventions that may worsen the outcome.
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