Rheumatoid arthritis presenting with a non-healing ulcer, diagnosed to be Pyoderma gangrenosum
Authors
amishi amishi, Dr Nitin RATHOD , Dr Raina Nahar, Dr Nehal MundeFiles
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Journal
Published in Vol. 65 No. 2 (2023) of Bombay Hospital Journal.
Bombay Hospital Journal (BHJ) is a peer-reviewed quarterly published Print and Online journal. It is an official Journal of Bombay Hospital institute of medical sciences. The aim of BHJ is to improve medical care by publishing sound scientific articles (both research and practice papers) and focusing on topics that are of great importance to its readership.
Editor-in-Chief- Dr Satish Vasant Khadilkar
About the JournalAbstract
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.
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Copyright (c) 2023 Bombay Hospital Journal
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© 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.
