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World J Rheumatol. Jul 12, 2015; 5(2): 101-107
Published online Jul 12, 2015. doi: 10.5499/wjr.v5.i2.101
Pyoderma gangrenosum: An important dermatologic condition occasionally associated with rheumatic diseases
Toshiyuki Yamamoto
Toshiyuki Yamamoto, Department of Dermatology, Fukushima Medical University, Fukushima 960-1295, Japan
Author contributions: Yamamoto T solely contributed to this work.
Conflict-of-interest statement: None declared.
Correspondence to: Toshiyuki Yamamoto, MD, PhD, Department of Dermatology, Fukushima Medical University, Hikarigaoka 1, Fukushima 960-1295, Japan. toyamade@fmu.ac.jp
Telephone: +81-24-5471307 Fax: +81-24-5471307
Received: November 26, 2014
Peer-review started: November 26, 2014
First decision: January 20, 2015
Revised: March 13, 2015
Accepted: April 27, 2015
Article in press: April 29, 2015
Published online: July 12, 2015
Processing time: 223 Days and 16.4 Hours
Core Tip

Core tip: Pyoderma gangrenosum (PG) is occasionally seen in patients with systemic diseases such as rheumatoid arthritis (RA), inflammatory bowel disease, hematologic malignancy, and Takayasu’s arteritis. PG is sometimes precipitated by minor trauma or triggered by surgical operation or even by iatrogenic procedures such as needle prick or catheter insertion, which play a role as pathergy. Clinical appearances of ulcerative pyoderma gangrenosum mimic rheumatoid vasculitis or leg ulcers caused by impaired circulation in patients with RA. It is necessary for rheumatologists as well to understand pyoderma gangrenosum.