(BMJ)—A 65-yo man—s/p subtotal colectomy w/ stoma for ulcerative colitis 18mo prior—presented w/ rapidly expanding, painful ulcers on his legs, perineum, and peristomal skin. No bowel sx. Off meds since surgery. Exam: fever; drowsy; ulcers w/ violaceous borders. Labs: raised CRP, WBC. What’s the dx?
Ecthyma gangrenosum
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Pyoderma gangrenosum
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Erythema nodosum
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Sweet syndrome
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Cutaneous lymphoma
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