REPORT OF A CASE
A 65-year-old man with a 30-year history of Crohn's disease and ankylosing spondylitis was admitted to Massachusetts General Hospital, Boston, for evaluation and management of a large ulcer of the right calf.The patient had been in his usual state of health, with periodic episodes of abdominal and hip pains that were managed with prednisone therapy on a daily basis since 1975. At presentation, he was receiving 12.5 mg of oral prednisone per day. He worked as a technician for a local manufacturing company and enjoyed frequent walks on the beach near his home in Massachusetts. There was no significant travel or pet history.Five days after sustaining minor blunt trauma to his right calf, the patient noted a small tender bump with surrounding erythema. The area of erythema rapidly grew and the center became ulcerated. He presented to a local hospital with a
Lerner EA, Kibbi A, Haas A. Calf Ulcer in an Immunocompromised Host. Arch Dermatol. 1988;124(3):433–434. doi:10.1001/archderm.1988.01670030099032
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