Rheumatoid arthritis presenting with a non-healing ulcer, diagnosed to be Pyoderma gangrenosum

Authors

  • amishi amishi a:1:{s:5:"en_US";s:6:"doctor";}
  • Dr Nitin RATHOD Head of Department of Medicine at Nanavati Max Superspceiality Hospital
  • Dr Raina Nahar
  • Dr Nehal Munde

Abstract

Middle aged male diagnosed with rheumatoid arthritis presented with an acute large painful ulcer spreading over left elbow following an abscess drainage.  Lab values showed normal Procalcitonin ( PCT), high CRP  and sterile wound culture along with skin biopsy . The initial approach included antibiotic management but the ulcer proliferated despite parenteral  antibiotics and regular dressing with a subsequent histopathological diagnosis of pyoderma gangrenosum. Patient improved with steroid and immunosuppressant drug.

References

Published

16-09-2024

Issue

Vol. 65 No. 2 (2023): Volume 65, Issue 2, April-June 2023

Section

Regular Issue Articles

License

Copyright (c) 2023 Bombay Hospital Journal

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© The Author(s). 2024 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons. org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated.

How to Cite

Rheumatoid arthritis presenting with a non-healing ulcer, diagnosed to be Pyoderma gangrenosum. (2024). Bombay Hospital Journal, 65(2). https://portal.bhjournal.org/index.php/ins/article/view/116

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