A 20-year-old man presented with a non-healing ulcer on the dorsum of the left foot that initially appeared after the patient fell and hit his left foot on the edge of a door. An ulcer had formed and grown in size over the past several weeks after repeated physical insults and despite home wound care, as seen in Figure 1. Additionally, the patient had a non-healing ulcer inferior to his left knee. He had a notable past medical history of acute myelogenous leukemia (AML) in remission after a haploidentical stem cell transplant, uncontrolled diabetes type 1, and graft-versus-host disease of the skin. Both wounds showed no signs of osteomyelitis or cellulitis on MRI.
Mikkilineni, MD, Lekha and Ali, MD, Aishah
"Pyoderma Gangrenosum Associated with Acute Myelogenous Leukemia,"
The Medicine Forum:
Vol. 15, Article 26.
Available at: http://jdc.jefferson.edu/tmf/vol15/iss1/26