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We describe a case of pyoderma gangrenosum which presented with severe wound breakdown after elective hip replacement. The patient was treated successfully with minimal wound debridement and steroids. This diagnosis should always be considered when confronted with an enlarging painful skin lesion which does not grow organisms when cultured and fails to respond to antibiotic therapy, especially if there are similar lesions in other sites. In patients who have a past history of pyoderma gangrenosum, prophylactic steroids may be indicated at the time of surgery or may be required early in the postoperative period.

Original publication

DOI

10.1302/0301-620x.81b5.9439

Type

Journal

The Journal of bone and joint surgery. British volume

Publication Date

09/1999

Volume

81

Pages

893 - 894

Addresses

Nuffield Orthopaedic Centre, Headington, Oxford, England, UK.

Keywords

Humans, Pyoderma Gangrenosum, Prednisolone, Debridement, Arthroplasty, Replacement, Hip, Aged, Male