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Advanced Pyoderma Gangrenosum Previously Treated as Squamous Cell Carcinoma

Tamara Čuk Radović ; Polyclinic Petar Nola, Zagreb, Croatia
Krešimir Kostović ; Department of Dermatovenereology, University Hospital Center Zagreb and School of Medicine University of Zagreb, Zagreb, Croatia
Jaka Radoš ; Department of Dermatovenereology, University Hospital Center Zagreb and School of Medicine University of Zagreb, Zagreb, Croatia
Zrinjka Paštar ; Health Department, Ministry of Defense, Zagreb, Croatia
Gordana Pavliša ; University Hospital for Chest Diseases Jordanovac, Cinical Hospital Center Zagreb, Croatia
Branka Marinović ; Department of Dermatovenereology, University Hospital Center Zagreb and School of Medicine University of Zagreb, Zagreb, Croatia

Abstract

Pyoderma gangrenosum is a rare, neutrophilic ulcerative skin disease of unknown etiology often associated with an underlying systemic disease. We present a case of a pyoderma gangrenosum that was initially misdiagnosed and treated as squamous cell carcinoma in another hospital. Multiple surgical treatments triggered postoperative exacerbations and further rapid progression of the lesions. History of pathergy, clinical findings, and histopathological features examined at our Department indicated pyoderma gangrenosum. The diagnosis was confirmed by excluding other diseases that could cause similar-appearing cutaneous lesions. No associated underlying disease was determined. After the diagnosis was confirmed, corticosteroid therapy was initiated until complete remission of ulcerations.

Keywords

Hrčak ID:

147146

URI

https://hrcak.srce.hr/147146

Publication date:

16.10.2015.

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