Pyoderma gangrenosum-like oral ulcerations in an elderly patient

Abstract

Objective: To present a case of pyoderma gangrenosum (PG)-like oral ulcerations in an elderly patient.

Background: PG is an uncommon idiopathic, ulcerative, chronic inflammatory cutaneous disorder of unknown etiology, which is associated with systemic diseases found in more than 50% of patients. Oral lesions of PG are extremely rare and have not been previously reported on chronic leukemia patient.

Clinical report: This report presents the first case of a 73 year-old man who had PG-like oral ulcerations which offered the possibility of an initial finding of chronic myeloid leukemia.

Conclusion: Clinicians should always take into consideration that PG in the oral mucosa is a recalcitrant ulcer and can precede the development of underlying clonal malignancy.

Keywords: leukaemia; oral ulceration; pyoderma gangrenosum.