Pyogenic arthritis-pyoderma gangrenosum-acne syndrome is a rare pleiotropic autoinflammatory disorder of childhood, primarily affecting the joints and skin.
Right lung wedge biopsies via thoracostomy was performed and showed pulmonary pyodermagangrenosum.
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Rapid improvement of pyodermagangrenosum was seen within three doses of infliximab infusion.
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We report a case of scurvy manifesting as persistent non-healing lower-extremity ulcerations, initially mistaken for pyodermagangrenosum.
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It is particularly unusual for extracutaneous pyodermagangrenosum to manifest prior to skin findings and without an associated systemic disorder.
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This is the first case of pulmonary pyodermagangrenosum without any associated underlying systemic disorder and without any cutaneous manifestations to date.
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Pyodermagangrenosum is a chronic sterile skin disorder that is frequently seen in association with systemic disorders such as inflammatory bowel disease.