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July 1962


Arch Dermatol. 1962;86(1):105-111. doi:10.1001/archderm.1962.01590070111031

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Pyoderma Gangrenosum Appearing Ten Years after Colectomy and Apparent Cure of Chronic Ulcerative Colitis. Presented by Dr. Thomas J. Cook (by invitation) and Dr. Allan L. Lorincz.  This 47-year-old white man was admitted to the University of Chicago Hospitals on Dec. 7, 1961, for treatment of an ulcer on his left leg. In 1946, this patient developed diarrhea with frankly bloody stools and was diagnosed as having ulcerative colitis. Because of the relative refractoriness of his disease to medical therapy, the patient had a total colectomy in early 1951, and an abdominoperineal resection later that year. Since then he has been quite free of gastrointestinal symptoms. His skin was clear until mid-October of 1961, when, after an injury to his left shin, he developed a small ulcer there. This spread very rapidly in spite of treatment by private physicians with Chymar ointment, Meticorten, griseofulvin, Albamycin, and vitamin B12 injections.

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