American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 30, Issue 4 , Pages 273-276 , July 2009

Pyoderma gangrenosum masquerading as necrotizing fasciitis

  • Keira L. Barr, MD

      Affiliations

    • Department of Pathology, Immunology and Laboratory Medicine, University of Florida College of Medicine, FL, USA
    • Corresponding Author InformationCorresponding author. Diagnostic Reference Laboratories, 4800 SW 35th Drive, Gainesville, FL 32608, USA. Tel.: +1 352 265 9900; fax: +1 352 265 9901. Reprints: Department of Pathology, Immunology and Laboratory Medicine, Diagnostic Reference Laboratories 4800 SW 35th Drive, Gainesville, FL 32608, USA.
    • ,
  • Hardeep K. Chhatwal, BDS

      Affiliations

    • Department of Oral Maxillofacial Surgery and Diagnostic Sciences, University of Florida College of Dentistry, Gainesville, FL, USA
    • ,
  • Stanton K. Wesson, MD

      Affiliations

    • Division of Dermatology, Department of Internal Medicine, University of Florida College of Medicine, FL, USA
    • ,
  • Indraneel Bhattacharyya, DDS, MSD

      Affiliations

    • Department of Oral Maxillofacial Surgery and Diagnostic Sciences, University of Florida College of Dentistry, Gainesville, FL, USA
    • ,
  • Vladimir Vincek, MD, PhD

      Affiliations

    • Department of Pathology, Immunology and Laboratory Medicine, University of Florida College of Medicine, FL, USA

Received 20 April 2008

References 

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  2. Wollina U. Pyoderma gangrenosum—a review. Orphanet J Rare Dis. 2007;2:19
  3. Crowson AN, Mihm MC, Magro C. Pyoderma gangrenosum: a review. J Cutan Pathol. 2003;30:97–107
  4. Adachi Y, Kindzelskii AL, Cookingham G, et al. Aberrant neutrophil trafficking and metabolic oscillations in severe pyoderma gangrenosum. J Invest Dermatol. 1998;111:259–268
  5. Callen JP, Jackson JM. Pyoderma gangrenosum: an update. Rheum Dis Clin N Am. 2007;33:787–802
  6. Farrell AM, Black MM, Bracka A, et al. Pyoderma gangrenosum of the penis. Br J Dermatol. 1998;138:337–340
  7. Weenig RH, Davis MD, Dahl PR, et al. Skin ulcers misdiagnosed as pyoderma gangrenosum. N Engl J Med. 2002;347:1412–1418
  8. Berger TG, James WD, Elston DM. In: Andrew's Disease of the Skin. Clinical Dermatology. 10th ed. Canada: WB Sauders; 2006;
  9. Powell FC, Su WP, Perry HO. Pyoderma gangrenosum; classification and management. J Am Acad Dermatol. 1996;34:395–409
  10. Elliot DC, Kufera JA, Myers RAM. Necrotizing soft tissue infections. Ann Surg. 1996;25:672–683
  11. Umbert U, Winkelmann RK, Oliver GF, et al. Necrotizing fasciitis: a clinical, microbiologic, and histopathologic study of 14 patients. J Am Acad Dermatol. 1989;20:774–781
  12. Stone D, Gorbach S. Necrotizing fasciitis. Infect Dis Dermatol. 1997;15:213–220
  13. Shindo Ml, Nalbone VP, Dougherty WR. Necrotizing fasciitis of the face. Laryngoscope. 1997;107:1071–1079
  14. Mahajan AL, Ajmal N, Barry J, et al. Could your case of necrotizing fasciitis be pyoderma gangrenosum?. Br J Plastic Surg. 2005;58:409–412
  15. Tay YK, friednash M, Aeling JL. Acute pyoderma gangrenosum does not require surgical therapy. Arch Fam Med. 1998;7:377–380
  16. Borlu M, Utas S. Pyoderma gangrenosum after cholecystectomy. J Eur Acad Dermatol Venerol. 2000;15:185–186

☆ Disclosure: The authors of this manuscript have no conflict of interest to declare. No funding sources were received for this study. This article has not been presented or published elsewhere.

PII: S0196-0709(08)00088-4

doi: 10.1016/j.amjoto.2008.05.005

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 30, Issue 4 , Pages 273-276 , July 2009

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