Pyoderma gangrenosum presenting to an infectious diseases clinic: A 2024 case series
Fabiana Kellen, Michael Silverman, Esfandiar Shojaei, MohammadReza Rahimi Shahmirzadi, Lili Ataie · 2026
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Description
Fabiana Kellen and co-authors review ten patients whose pyoderma gangrenosum, a painful ulcerating skin disease driven by neutrophils, first landed in an infectious diseases clinic. The condition mimics infection closely, has no definitive test, and often draws antibiotics while the real fix, immune suppression, waits. All ten scored at least 10 on the PARACELSUS diagnostic scale used for inclusion.
Median age was 61.5 years, six of ten were women, and nine in ten carried an autoimmune disease; half had mental health disorders and six in ten had endocrine problems. Two patients developed ulcers at healed scar sites, an uncommon pattern worth flagging. The authors argue that early recognition, plus care shared across dermatology, wound, and immune specialists, shortens the road to correct treatment and better healing.
Catalog record
| CREATOR | Fabiana Kellen, Michael Silverman, Esfandiar Shojaei, MohammadReza Rahimi Shahmirzadi, Lili Ataie |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 12 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |