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The Journal of Bone and Joint Surgery 81:1013-18 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Pyoderma Gangrenosum Mimicking Postoperative Infection in the Extremities. A Report of Two Cases*

CRAIG R. BENNETT, M.D.{dagger}, MICHAEL E. BRAGE, M.D.{ddagger} and DANIEL P. MASS, M.D.§, CHICAGO, ILLINOIS

Investigation performed at the Section of Orthopaedic Surgery, Department of Surgery, University of Chicago Hospitals, Chicago


   Introduction
 
Pyoderma gangrenosum is an uncommon skin disorder involving ulcerations and necrosis that may occur following an operation and mimic a postoperative infection. We report on two patients who had pyoderma gangrenosum that was not diagnosed initially. Both patients were managed with repeated operative débridement because of a suspected postoperative infection. The diagnosis of pyoderma gangrenosum was eventually established; however, this disorder is not commonly treated by orthopaedic surgeons and is often initially misdiagnosed.


   Case Reports
 
CASE 1. A thirty-two-year-old woman was first managed at an outside institution because of pain in the heel and tarsal tunnel syndrome on the right side. At our request, the referring physician provided the patient's earlier clinical record so that we could better describe the pertinent history and management in the present report. According to the office notes, the patient was first seen in November 1995 because of a several-month history of severe pain in the right . . . [Full Text of this Article]


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E.L. Newell, S.I. Chaudhry, and M.M. Black
Acute Bullous Hemorrhagic Pyoderma Gangrenosum: Pitfalls of Diagnostic Delay. A Case Report
J. Bone Joint Surg. Am., January 1, 2008; 90(1): 174 - 177.
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