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Correspondence |

Pyoderma Gangrenosum Presenting With Leukemoid Reaction: A Report of 2 Cases

Jubin Ryu, PhD; Haley Naik, MD; F. Clarissa Yang, MD; Laura Winterfield, MD
Arch Dermatol. 2010;146(5):568-569. doi:10.1001/archdermatol.2010.80.
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Sakka  VTsiodras  SGiamarellos-Bourboulis  EJGiamarellou  H An update on the etiology and diagnostic evaluation of a leukemoid reaction. Eur J Intern Med 2006;17 (6) 394- 398
PubMed Link to Article[[XSLOpenURL/10.1016/j.ejim.2006.04.004]]
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PubMed Link to Article[[XSLOpenURL/10.1097/00000637-200109000-00015]]
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PubMed Link to Article[[XSLOpenURL/10.1046/j.1365-2133.1997.20022083.x]]
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PubMed Link to Article[[XSLOpenURL/10.1111/ced.2009.34.issue-5]]
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Figure 1.

The wounds of patient 1 five hours after the last surgical debridement of her left breast and prior to commencement of systemic steroid treatment. The left breast (A) and lateral chest (B) show large surgical wounds to deep fat with reemerging dark violaceous borders. The left areola has been spared. C, Medial right arm ulcer down to the fascia with violaceous borders.

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Figure 2.

The wounds of patient 1 after 14 weeks of systemic steroid treatment and wound care. On the left breast (A) and lateral chest (B), the ulcer is diminished in size and depth and shows granulation tissue and re-epithelialization. C, On the medial right arm, the ulcer has re-epithelialized and healed completely in a linear configuration without use of sutures or surgical intervention.

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