Pyoderma gangrenosum. A diagnosis not to be missed

P M Armstrong, I Ilyas, R Pandey, A R Berendt, C P Conlon, A H Simpson

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

We describe a case of pyoderma gangrenosum which presented with severe wound breakdown after elective hip replacement. The patient was treated successfully with minimal wound debridement and steroids. This diagnosis should always be considered when confronted with an enlarging painful skin lesion which does not grow organisms when cultured and fails to respond to antibiotic therapy, especially if there are similar lesions in other sites. In patients who have a past history of pyoderma gangrenosum, prophylactic steroids may be indicated at the time of surgery or may be required early in the postoperative period.

Original languageEnglish
Pages (from-to)893-4
Number of pages2
JournalJournal of Bone and Joint Surgery, British Volume
Volume81
Issue number5
Publication statusPublished - Sept 1999

Keywords / Materials (for Non-textual outputs)

  • Aged
  • Arthroplasty, Replacement, Hip
  • Debridement
  • Humans
  • Male
  • Prednisolone
  • Pyoderma Gangrenosum

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