Jacey Guthrie, Caleb King, Laura Battle, Halle Field, Pooja Motwani, Henry Wong, Jennifer Kaley, Mallory Shiver, Ling Gao
Diagnosis of a neutrophilic dermatosis, such as pyoderma gangrenosum (PG), often is challenging at onset because it can be impossible to distinguish clinically and histopathologically from an acute infection in an immunosuppressed patient, necessitating a detailed patient history as well as correlation pathology with microbial tissue cultures. The dermatologist's ability to distinguish a neutrophilic dermatosis from active infection is of paramount importance, as the decision to treat with surgical debridement, in addition to an antibiotic regimen, can have grave consequences in the misdiagnosed patient...
November 2019: Cutis; Cutaneous Medicine for the Practitioner