a) consider taking a tissue cx to rule out infx
b) remember pathergy occurs, so it could worsen
c) bx at the ulcer edge!
Pyoderma Gangrenosum =/= Pyoderma
Pyoderma is just a generic term for pustular stuff in the skin.
Also, Pyoderma Gangrenosum =/= Ecthyma Gangrenosum.
What is ecthyma gangrenosum?
-PG is a neutrophilic dermatosis with characteristic exam findings.
-New cases of PG should be investigated for underlying causes/triggers.
-Treatment is immunosuppression or anti-neutrophilic.
-Patient with h/o PG have a low but real risk of flare at surgery.