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Giugale JM, Balk ML, et al.
JBJS case connector. Date of publication 2018 Oct 1;volume 8(4):e91.
1. JBJS Case Connect. 2018 Oct-Dec;8(4):e91. doi: 10.2106/JBJS.CC.18.00116. Pyoderma Gangrenosum Following Carpal Tunnel Release: A Case Report. Giugale JM(1), Balk ML(1). Author information: (1)Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. CASE: A 51-year-old woman with diabetes developed wound complications consistent with presumed infection 5 days after undergoing a carpal tunnel release. Despite multiple debridements, the wounds continued to necrose and deteriorate. A diagnosis of pyoderma gangrenosum eventually was made, and the condition improved with the administration of systemic corticosteroids. CONCLUSION: Pyoderma gangrenosum, a form of neutrophilic dermatosis that rarely occurs as a complication of surgery, resembles a postoperative infection. Astute awareness of the condition can prevent a delayed diagnosis and unnecessary surgical procedures. DOI: 10.2106/JBJS.CC.18.00116 PMID: 30431480
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Pyoderma Gangrenosum - Introduction and Assessment