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Special Feature
November 01, 2006

Image of the Month—Quiz Case

Author Affiliations

Author Affiliations:Department of Surgery, Texas Tech University Health Sciences Center, El Paso.

 

GRACE S.ROZYCKIMD

Arch Surg. 2006;141(11):1143. doi:10.1001/archsurg.141.11.1143

A 60-year-old man was referred for closure of an 18-month, recurrent, nonhealing ulcer in the anterior medial aspect of his left leg over a burn scar from a gasoline fire experienced when the patient was 5 years of age. He said that the ulcer commenced after an abrasion in a motorcycle accident 18 months before. On examination, the lesion measured 10 × 5 cm, the borders were erythematosus, and the wound was foul smelling and painful (Figure).

Figure.
Photograph of an ulcer over a burn scar in the anterior medial aspect of the left leg.

Photograph of an ulcer over a burn scar in the anterior medial aspect of the left leg.

What Is the Diagnosis?

A. Venous stasis ulcer.

B. Pyoderma gangrenosum.

C. Foreign body abscess.

D. Marjolin ulcer.

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