ePlasty: Vol. 18
Cutaneous Pyoderma Gangrenosum of the Hand
Toni Mihailidis,a David Izadi,b and Sameer Gujralc

aDepartment of Medicine, University of Bristol, Bristol, UK; bDepartment of Plastic Surgery, Royal Devon & Exeter Hospital, Exeter, UK; and cDepartment of Plastic Surgery, Southmead Hospital, Bristol, UK

Correspondence: thmihailidis@hotmail.com
Keywords: Pyoderma gangrenosum, surgical debridement, contraindication, pathergy, immunosuppression
Figure 1. Palmar aspect of necrotizing lesion.
Figure 2. Lateral aspect of necrotizing lesion.
Figure 3. Dorsal aspect of necrotizing lesion.


A 65-year-old man presented with a left nontraumatic thumb lesion. Inflammatory markers were raised and infection was initially diagnosed. Despite surgical debridements and intravenous antibiotics, wounds deteriorated, extending to his index finger. Microbiology a .......