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Year : 2013  |  Volume : 4  |  Issue : 1  |  Page : 43-46

Pyoderma gangrenosum with an underlying ulcerative colitis associated with bone tuberculosis

Department of Dermatology, Dr. D.Y. Patil Medical College and Hospital, Pimpri, Pune, India

Correspondence Address:
Milind A Patvekar
Queens Tower, Flat-B 204, Udyog Nagar, Opp. Lokmanya Hospital, Chinchwad, Pune - 411 033, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5178.105473

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Pyoderma gangrenosum is a rare noninfective neutrophilic dermatosis, characterized by progressive painful ulceration. It is frequently associated with systemic disorders like inflammatory bowel disease, rheumatoid arthritis and myeloproliferative diseases. However, its association with infectious diseases in particular with tuberculosis is extremely rare. Diagnosis is based on the history of an underlying disease, a typical clinical presentation, histopathology and exclusion of other diseases leading to ulcerations of similar appearance. Immunosuppression with corticosteroids remains the mainstay of treatment. We report a case of a 49-year-old male with long-standing ulcerative colitis, associated with tuberculosis of hip, who presented with nonhealing ulcers over the lower extremity.

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