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Clinical Note |

Pyoderma Gangrenosum in the Head and Neck

Claus Wittekindt, MD; Jan-Christoffer Lüers, MD; Jens-Peter Klussmann, MD; Karl-Bernd Hüttenbrink, MD
Arch Otolaryngol Head Neck Surg. 2007;133(1):83-85. doi:10.1001/archotol.133.1.83.
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Ulcerative pyoderma gangrenosum (PG) is defined as a skin gangrene with crumbling, greasy ulcerations lacking a microbiological genesis. In approximately 12% of cases of chronically nonhealing wounds, PG is reported to be the cause.1 It is a dermatosis and a noninfectious inflammatory skin disease with an immunological background.2,3 The appearance of PG in the area of the head and neck is rare and may well be misdiagnosed.

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Documentation of the lesion. A, One month after parotidectomy. The skin incision line shows a wound dehiscence with fistulas, pustules, and bullous formations and painful, livid ulcers with undermined borders. B, View of the skin 2 weeks after beginning immunosuppressive treatment with prednisolone. The wound is closed, and the fistula is no longer visible. The patient had no pain at this point.

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