en POLSKI
eISSN: 2084-9834
ISSN: 0034-6233
Reumatologia/Rheumatology
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4/2022
vol. 60
 
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abstract:
Case-based review

An aggressive course of pyoderma gangrenosum mimicking bacterial osteomyelitis after open reduction and internal fixation of a distal radius fracture with a titanium plate

Michał Wasiak
1
,
Michał Ciszek
2
,
Ireneusz Babiak
3
,
Piotr Wasilewski
1
,
Paweł Łęgosz
1
,
Bartosz Kieroński
1
,
Paweł Małdyk
1

1.
Department of Orthopaedics and Traumatology, Medical University of Warsaw, Poland
2.
Department of Immunology, Transplantology and Internal Medicine, Medical University of Warsaw, Poland
3.
Orthopedic and Trauma Hospital Carolina Medical Center, Warsaw, Poland
Reumatologia 2022; 60, 4: 292–302
Online publish date: 2022/09/08
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Pyoderma gangrenosum (PG) is a rare condition characterized by the development of aseptic, non-healing skin ulcers. Any skin trauma, such as a surgical incision, can trigger an outbreak of lesions.

Our case and literature review show that a physician should consider PG in every event of a non-healing, aseptic wound after surgery. The treatment of PG requires collaboration within a multidisciplinary team and immunosuppressive therapy is the first line of treatment, while surgical interventions should be avoided in the active stage of PG.
keywords:

osteomyelitis, pyoderma gangrenosum, nonhealing wound, internal fixation of fracture





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