Article

Pyoderma gangrenosum (PG) is an aseptic ulcerative dermatosis, belonging to the
group of neutrophilic dermatoses, and could reveal a systemic blood disorders or
inflammatory disease. This dermatosis could mimic rapidly extensive necrotizing
dermo-hypodermitis in some clinical aspects. PG can be caused by tissue trauma as
in surgical procedure. In this context, this pathology is easily confused with
bacterial necrotizing dermo-hypodermitis, the treatment of which gives priority
to survival rather than functional outcome, and causes rapid deterioration
especially in the upper limb.
This case report shows typical evolution of
inappropriate treatment of postoperative PG. Faced with postoperative necrotizing
dermo-hypodermitis, the diagnosis of PG must be considered, in order to favor
good functional outcome.
CI - Copyright (c) 2011 Elsevier Masson SAS. All rights reserved.

Langue : FRANCAIS