Introduction: Pyoderma gangrenosum is a rare cause of ulceration that may be confused with post-operative wound infection. Report: A 74-year-old man presented with a painful ulcer after long saphenous vein harvesting. On examination, a 7×5cm ulcer was noted overlying the distal end of the wound. The ulcer had a patchy necrotic base and well-demarcated violet edges with surrounding erythematous, indurated skin. Review of the clinical history revealed previous delayed wound healing. The diagnosis of pyoderma gangrenosum was confirmed by histological analysis. Discussion: This case highlights the importance of the pre-operative medical history in identifying patients at risk of pyoderma gangrenosum. © 2013 European Society for Vascular Surgery.
A Case of Pyoderma Gangrenosum After Long Saphenous Vein Harvesting / Gnarra, M.; Castriota, M.; Rowland, S. P.; Bonalumi, G.; Glieca, F.; Feliciani, C.. - In: EJVES EXTRA. - ISSN 1533-3167. - 27:2(2014), pp. e5-e6. [10.1016/j.ejvsextra.2013.11.005]
A Case of Pyoderma Gangrenosum After Long Saphenous Vein Harvesting
Feliciani C.
2014-01-01
Abstract
Introduction: Pyoderma gangrenosum is a rare cause of ulceration that may be confused with post-operative wound infection. Report: A 74-year-old man presented with a painful ulcer after long saphenous vein harvesting. On examination, a 7×5cm ulcer was noted overlying the distal end of the wound. The ulcer had a patchy necrotic base and well-demarcated violet edges with surrounding erythematous, indurated skin. Review of the clinical history revealed previous delayed wound healing. The diagnosis of pyoderma gangrenosum was confirmed by histological analysis. Discussion: This case highlights the importance of the pre-operative medical history in identifying patients at risk of pyoderma gangrenosum. © 2013 European Society for Vascular Surgery.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
