A Rare Case of Bullous Pyoderma Gangrenosum in a Patient with Acute Myelogenous Leukemia

Veronica Marie E. Ramos, Charmaine Vanessa S. Chamberlin, Belen L. Dofitas
2020 Acta medica Philippina  
A 67-year-old female with acute myelogenous leukemia, presented with a two-week history of enlarging ecchymosis-like plaques with hemorrhagic bullae on the right forearm and anterior legs, associated with fever, pain, and swelling. Tissue cultures were persistently negative. Lesions progressed despite broad-spectrum antibiotic coverage. Histopathology showed neutrophilic dermatitis, consistent with pyoderma gangrenosum. The patient was diagnosed with the bullous type. This type is rare with
more » ... two reported cases in the Philippines since 2011. Systemic glucocorticoids were given with note of dramatic improvement of the lesions.
doi:10.47895/amp.v54i3.1687 fatcat:vzpbqfvi3rcmnjcq7j57utm4li