Pyoderma Gangrenosum Mimicking a Diabetic Foot Infection: A Case Report

被引:15
|
作者
Lee, Ho Seong [2 ]
Choi, Young Rak [1 ]
Ha, Sung Hoon [2 ]
Jeong, Jae Jung [3 ]
机构
[1] CHA Univ, Dept Orthoped Surg, CHA Bundang Med Ctr, Songnam 463712, Gyeonggi Do, South Korea
[2] Ulsan Univ Coll Med, Asan Med Ctr, Dept Orthoped Surg, Seoul, South Korea
[3] Catholic Univ Korea Coll Med, Dept Orthoped Surg, St Marys Hosp, Taejon, South Korea
来源
JOURNAL OF FOOT & ANKLE SURGERY | 2013年 / 52卷 / 01期
关键词
diabetes mellitus; diabetic foot ulcer;
D O I
10.1053/j.jfas.2012.09.002
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
An adult with ulcerative colitis and diabetes presented with a painful, swollen, edematous left foot. Diagnostic images and laboratory tests were inconclusive. Antibiotics were started immediately but aggravated his symptoms, and the laboratory results worsened. His foot was debrided twice per protocol for treating diabetic foot ulcers or cellulitis. After debridement, his condition worsened rapidly. Pyoderma gangrenosum was correctly diagnosed on the basis of massive neutrophilic infiltration detected in the biopsy tissue and because the lesion was well-defined and colored deep red to violet, unlike the bullosis diabeticorum blisters observed in the diabetic foot. His foot improved with systemic corticosteroids and topical wound care, and a skin defect was treated with a skin graft. After 9 months, his foot was well healed. Pyoderma gangrenosum can be diagnosed by careful examination and must be distinguished from an ulcerated diabetic foot lesion. (C) 2013 by the American College of Foot and Ankle Surgeons. All rights reserved.
引用
收藏
页码:67 / 71
页数:5
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