case_images: PMC3573453_01
case_images: Ulcer measuring 10x8 cm with purulent exudate and undermined edge with overlying necrotic skin over left pretibial region
case_images: IDOJ-4-43-g001.jpg
case_images: PMC3573453_01_IDOJ-4-43-g001.jpg
case_images: F1
case_images: Examination revealed two ulcers of sizes 10 x 8 cm and 3 x 2 cm, each with a purulent base and violaceous, undermined edges over the anterior and anterolateral aspect of left lower leg [Figures 1 and 2].
case_images: Ulcer showing hypergranulation tissue with ragged edge over anterolateral aspect of left lower leg
case_images: IDOJ-4-43-g002.jpg
case_images: PMC3573453_01_IDOJ-4-43-g002.jpg
case_images: F2
case_images: Examination revealed two ulcers of sizes 10 x 8 cm and 3 x 2 cm, each with a purulent base and violaceous, undermined edges over the anterior and anterolateral aspect of left lower leg [Figures 1 and 2].
case_images: MRI showing altered signal around left sacroiliac joint
case_images: IDOJ-4-43-g003.jpg
case_images: PMC3573453_01_IDOJ-4-43-g003.jpg
case_images: F3
case_images: Owing to his past history and present complaint, magnetic resonance imaging of bilateral hip was done that revealed altered signal around the left sacroiliac joint [Figure 3] and a small collection adjacent to right ischial tuberosity with altered signal within [Figure 4], suggestive of an infective etiology.
case_images: MRI showing small fluid collection adjacent to right ischial tuberosity suggesting an infective etiology
case_images: IDOJ-4-43-g004.jpg
case_images: PMC3573453_01_IDOJ-4-43-g004.jpg
case_images: F4
case_images: Owing to his past history and present complaint, magnetic resonance imaging of bilateral hip was done that revealed altered signal around the left sacroiliac joint [Figure 3] and a small collection adjacent to right ischial tuberosity with altered signal within [Figure 4], suggestive of an infective etiology.
case_images: Histopathology; showing normal epidermis with dermal neutrophilic infiltrate. (H and E, x100)
case_images: IDOJ-4-43-g005.jpg
case_images: PMC3573453_01_IDOJ-4-43-g005.jpg
case_images: F5
case_images: Cytological examination of the biopsy taken from the edge of the ulcer revealed normal epidermis with dermis showing perivascular lymphocytic infiltration with endothelial swelling and focal neutrophilic abscess [Figures 5 and 6], consistent with pyoderma gangrenosum.
case_images: Histopathology view of dermis showing focal neutrophilic abscess. (H and E, x400)
case_images: IDOJ-4-43-g006.jpg
case_images: PMC3573453_01_IDOJ-4-43-g006.jpg
case_images: F6
case_images: Cytological examination of the biopsy taken from the edge of the ulcer revealed normal epidermis with dermis showing perivascular lymphocytic infiltration with endothelial swelling and focal neutrophilic abscess [Figures 5 and 6], consistent with pyoderma gangrenosum.