case_images: PMC4546795_01
case_images: Erythematous plaque with vesicular bubbles, elevated edge, interesting the back of the right hand and wrist
case_images: PAMJ-21-151-g001.jpg
case_images: PMC4546795_01_PAMJ-21-151-g001.jpg
case_images: F0001
case_images: The skin examination found an erythematous plaque of 10 cm of diameter, with a raised border and vesicules, taking the back of the right hand and wrist (Figure 1).
case_images: An infiltrated erythematous plaque on the right leg
case_images: PAMJ-21-151-g002.jpg
case_images: PMC4546795_01_PAMJ-21-151-g002.jpg
case_images: F0002
case_images: There was also an infiltrated erythematous plaque on the right leg (Figure 2) and another topped with a large pustule at the left ankle (Figure 3).
case_images: Infiltrated erythematous plaque of the left ankle surmounted by a large pustule
case_images: PAMJ-21-151-g003.jpg
case_images: PMC4546795_01_PAMJ-21-151-g003.jpg
case_images: F0003
case_images: There was also an infiltrated erythematous plaque on the right leg (Figure 2) and another topped with a large pustule at the left ankle (Figure 3).
case_images: Pyoderma gangrenosum: dermal polynuclear suppuration with vasculitis: (HE x 200)
case_images: PAMJ-21-151-g004.jpg
case_images: PMC4546795_01_PAMJ-21-151-g004.jpg
case_images: F0004
case_images: Skin biopsy showed at the edge of the back of the closet right hand ulcerated epidermis and the dermis infiltrate rich in neutrophils with leukocytoclastic vasculitis finding a PG (Figure 4).
case_images: Papillary dermal edema and intense dermal neutrophilic infiltrate with leucocytoclasia without vasculitis
case_images: PAMJ-21-151-g005.jpg
case_images: PMC4546795_01_PAMJ-21-151-g005.jpg
case_images: F0005
case_images: Other biopsies taken at infiltrated erythematous plaques of the ankle showed a normal appearance of skin, edema of the superficial dermis based on an infiltrate rich in neutrophils without vasculitis confirming the diagnosis of SS (Figure 5).
case_images: Early desinfiltration and healing in day 7 of treatment with regression of bubbles
case_images: PAMJ-21-151-g006.jpg
case_images: PMC4546795_01_PAMJ-21-151-g006.jpg
case_images: F0006
case_images: The evolution was marked since day 7 of treatment by the desinfiltration of the plaques (Figure 6), the recovery of the general condition and disappearance of biological inflammatory syndrome.