Empiric Treatment of Classical Pyoderma Gangrenosum in the Outpatient Setting: A Case Report

Cureus. 2024 Jun 16;16(6):e62475. doi: 10.7759/cureus.62475. eCollection 2024 Jun.

Abstract

Pyoderma gangrenosum (PG) is a rare neutrophilic disorder that typically presents as painful, ulcerative lesions. It is a diagnosis of exclusion and is oftentimes associated with systemic conditions such as inflammatory bowel disease, rheumatoid arthritis, and other inflammatory conditions. PG remains difficult to diagnose, and a delay in recognizing the disease can contribute to appreciable morbidity in the population. Here, we present the case of a 42-year-old male with the classical subtype of PG in the outpatient clinic who failed three courses of antibiotics before responding to corticosteroids.

Keywords: bacterial skin infection; chronic ulcer; leg ulcer; outpatient care; pyoderma gangrenosum.

Publication types

  • Case Reports