Korean Journal of Pediatric Gastroenterology and Nutrition  2009;12(2):240-245

Pyoderma Gangrenosum in a Patient with Ulcerative Colitis: A Case Report.

Kyoung In KANG 1 ; Sun Young YOU ; Sang Ha OH ; Jae Young KIM

Affiliations

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Keywords

Pyoderma gangrenosum; Ulcerative colitis

Country

Republic of Korea

Language

Korean

Abstract

Pyoderma gangrenosum associated with ulcerative colitis is an unknown etiology of destructive skin disorder, characterized by progressive painful ulceration. It begins as a erythematous areola or pustule and rapidly progress into a deep ulceration with a discrete and violaceous edge. Early diagnosis followed with non-compressive moist dressing, topical application and systemic immunosuppressants are cornerstone in treating this disease. We report a case of pyoderma gangrenosum exacerbated with incision and drainage in a 15 year old girl with ulcerative colitis. This case emphasizes the importance of early consideration of pyoderma gangrenosum in patient with a background of related systemic disease and minimal traumatized wound care.