case_images: PMC9494791_01
case_images: Non-healing wound after plate removal.
case_images: RU-60-47710-g001.jpg
case_images: PMC9494791_01_RU-60-47710-g001.jpg
case_images: f0001
case_images: One month after the implant removal, the surgical wound presented as ulceration with fistulae and purulent discharge (Fig. 1); radiographs revealed osteolysis within the styloid process of the radius.
case_images: External fixation for pathologic fracture in the site of the bone defect. PG was diagnosed at that moment.
case_images: RU-60-47710-g002.jpg
case_images: PMC9494791_01_RU-60-47710-g002.jpg
case_images: f0002
case_images: As new purulent skin lesions appeared, we took skin and bone biopsies (Fig. 2).
case_images: A, B. Severe deformation and osteomyelitis of the forearm and wrist.
case_images: RU-60-47710-g003.jpg
case_images: PMC9494791_01_RU-60-47710-g003.jpg
case_images: f0003
case_images: A, B. Massive relapse of PG at the site of scars from healed previous lesions. Note edema of the hand because of clenched and damaged veins.
case_images: RU-60-47710-g004.jpg
case_images: PMC9494791_01_RU-60-47710-g004.jpg
case_images: f0004
case_images: Given the poor patient tolerance of the treatment and two episodes of superinfection, the immunologic treatment was not continuous, leading to a massive PG relapse (Fig. 4 A, B).