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Pyoderma Gangrenosum Following Carpal Tunnel Release

A Case Report

Giugale, Juan M., MD1; Balk, Marshall L., MD1

doi: 10.2106/JBJS.CC.18.00116
Case Reports

Case: A 51-year-old woman with diabetes developed wound complications consistent with presumed infection 5 days after undergoing a carpal tunnel release. Despite multiple debridements, the wounds continued to necrose and deteriorate. A diagnosis of pyoderma gangrenosum eventually was made, and the condition improved with the administration of systemic corticosteroids.

Conclusion: Pyoderma gangrenosum, a form of neutrophilic dermatosis that rarely occurs as a complication of surgery, resembles a postoperative infection. Astute awareness of the condition can prevent a delayed diagnosis and unnecessary surgical procedures.

1Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

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Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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