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Correspondence
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Volume 348:1064-1066 March 13, 2003 Number 11
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Skin Ulcers Misdiagnosed as Pyoderma Gangrenosum

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 by Weenig, R. H.
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To the Editor: Weenig et al. (Oct. 31 issue)1 stress the need for extensive investigations in cases of skin ulcers that are suggestive of pyoderma gangrenosum. However, their recommendation of colonoscopy in Table 3 of their article is unclear. We believe that the decision to perform colonoscopy should be tailored to individual patients according to the expected effect on the management of their condition.

In a series of 86 patients with pyoderma gangrenosum from the Mayo Clinic,2 31 had inflammatory bowel disease. Pyoderma gangrenosum coincided with a flare of known inflammatory bowel disease in six patients and antedated the onset . . . [Full Text of this Article]




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