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CASE REPORT
Year : 2016  |  Volume : 19  |  Issue : 6  |  Page : 837-839

Delayed diagnosis of bullous pyoderma gangrenosum with acute myelogenous leukemia


1 Department of Dermatology, Inönü University, Malatya, Turkey
2 Department of Dermatology, Malatya State Hospital, Malatya, Turkey
3 Department of Infectious Disease, School of Medicine, Inönü University, Malatya, Turkey

Correspondence Address:
Dr. G Sarac
Malatya State Hospital, Malatya
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1119-3077.187327

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Pyoderma gangrenosum (PG) is a rare, but serious neutrophilic dermatosis characterized by recurrent painful cutaneous ulcerations. It is commonly associated with inflammatory bowel disease, rheumatoid arthritis, and hematological malignancies. Because laboratory evaluations and histologic features of PG are nonspecific, diagnosis is based on the clinical features of the ulcer and requires exclusion of other conditions that cause such ulceration. The disease responds to glucocorticoids, immunosuppressives, and anti-inflammatory drugs. We present a 30-year-old man with acute myelogenous leukemia (subtype M5) and bullous PG. Treatment with high-dose prednisolone was successful.


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