{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T09:28:42Z","timestamp":1774949322931,"version":"3.50.1"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,10,23]]},"abstract":"<jats:p>Up to 40% of patients with inflammatory bowel disease (IBD) develop an extraintestinal manifestation of the disease with the skin being the most commonly involved organ. Pyoderma gangrenosum (PG), an autoinflammatory non-infectious neutrophilic dermatosis, occurs in 1\u20132% of patients with IBD. PG can follow a course independent to that of the bowel disease, however, most reported cases describe PG occurring in patients with an established diagnosis of IBD. We present a case of a young patient who presented with axillary skin ulceration, which was subsequently diagnosed as PG. On further investigation for a possible underlying cause, she was found to have Crohn's disease. She had not developed any preceding change in her bowels and did not have abdominal pain; the IBD was diagnosed on endoscopic findings. This case is also unusual for the distribution of the PG lesions that typically occur in the lower limbs.<\/jats:p>","DOI":"10.1136\/bcr-2014-204853","type":"journal-article","created":{"date-parts":[[2014,11,10]],"date-time":"2014-11-10T00:42:50Z","timestamp":1415580170000},"page":"bcr2014204853","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Pyoderma gangrenosum as a first presentation of inflammatory bowel disease"],"prefix":"10.1136","volume":"2014","author":[{"given":"Shahana","family":"Shahid","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Royal Berkshire Hospital, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Myszor","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Royal Berkshire Hospital, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aminda","family":"De Silva","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Royal Berkshire Hospital, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,11,9]]},"reference":[{"key":"2025082803541785000_2014.nov09_1.bcr2014204853.1","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.20196"},{"key":"2025082803541785000_2014.nov09_1.bcr2014204853.2","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2010.343"},{"key":"2025082803541785000_2014.nov09_1.bcr2014204853.3","doi-asserted-by":"publisher","DOI":"10.1097\/01.MIB.0000436959.62286.f9"},{"key":"2025082803541785000_2014.nov09_1.bcr2014204853.4","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-2-9"},{"key":"2025082803541785000_2014.nov09_1.bcr2014204853.5","doi-asserted-by":"publisher","DOI":"10.2165\/11595240-000000000-00000"},{"key":"2025082803541785000_2014.nov09_1.bcr2014204853.6","doi-asserted-by":"publisher","DOI":"10.1007\/s12016-012-8351-x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204853","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:54:21Z","timestamp":1756378461000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11,9]]},"references-count":6,"alternative-id":["10.1136\/bcr-2014-204853"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204853","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11,9]]}}}