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).
Photograph of an ulcer over a burn scar in the anterior medial aspect of the left leg.
A. Venous stasis ulcer.
B. Pyoderma gangrenosum.
C. Foreign body abscess.
D. Marjolin ulcer.
Francisco J. Agullo, Alfredo A. Santillan, William T. Miller. Image of the Month—Quiz Case. Arch Surg. 2006;141(11):1143. doi:10.1001/archsurg.141.11.1143