Atypical Pyoderma Gangrenosum in 92-Year-Old Patient
1 , 2Topinková E., 1Klán J., 1Pelíšková D., 1 , 2Doleželová I.
1Geriatrická klinika 1. LF UK a VFN, Praha 2Subkatedra gerontologie a geriatrie Institutu pro další vzdělávání lékařů a farmaceutů, Praha
Pyoderma gangrenosum (PG) is rather rare chronic dermatosis presenting as cutaneous necrosis followed by
development of expanding chronic ulcer with well-demarcated, undermined, violaceous borders. Diagnosis of PG
is predominantly based on the clinical presentation and course. Histopathologic findings may be non-specific. Half
of patients suffer from a somaticsy stemic disease. We describe 92-year-old lady presenting with large non-healing
ulcer of the anterolateral calf with the diagnosis of atypical PG. In a discussion differential diagnosis of cutaneous
ulcers mimicking PG is reviewed and the treatment possibilities summarised.
pyoderma gangrenosum, advanced age, differential diagnosis, treatment.