{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T01:46:23Z","timestamp":1777513583582,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2011,11,1]],"date-time":"2011-11-01T00:00:00Z","timestamp":1320105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Cutan Med Surg"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The initial presentation of pyoderma gangrenosum (PG) is virtually indistinguishable from a pyogenic infection, making debridement appear necessary. However, operative approaches often lead to exacerbation and rapid extension through pathergy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective and Methods:<\/jats:title>\n                    <jats:p>In attempts to increase awareness of this condition and minimize misdiagnoses, a review of published reports involving PG of the hand and digits was performed and included 35 patients in addition to our case of a 14-year-old female with a history of ulcerative colitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the total cases, 29 patients were misdiagnosed as having an infection and subsequently treated with antibiotics; 13 of these patients also had debridement of their lesions. Twenty-eight patients had associated medical conditions, including ulcerative colitis, Crohn disease, diabetes mellitus, and cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>When approached with a rapidly growing ulcerated lesion that does not respond to operative therapy, the possibility of PG should be entertained and a high-dose corticosteroid regimen and\/or immunomodulator therapy implemented.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2310\/7750.2011.10119","type":"journal-article","created":{"date-parts":[[2015,3,11]],"date-time":"2015-03-11T15:01:24Z","timestamp":1426086084000},"page":"322-328","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Pyoderma Gangrenosum: The Great Pretender and a Challenging Diagnosis"],"prefix":"10.1177","volume":"15","author":[{"given":"Wendy W.","family":"Wong","sequence":"first","affiliation":[{"name":"From the Department of Plastic Surgery, Loma Linda University, Loma Linda University Children's Hospital, Loma Linda, CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo R.","family":"Machado","sequence":"additional","affiliation":[{"name":"From the Department of Plastic Surgery, Loma Linda University, Loma Linda University Children's Hospital, Loma Linda, CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael E.","family":"Hill","sequence":"additional","affiliation":[{"name":"From the Department of Plastic Surgery, Loma Linda University, Loma Linda University Children's Hospital, Loma Linda, CA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,11,1]]},"reference":[{"key":"bibr1-7750.2011.10119","first-page":"1","volume":"6","author":"Brocq L","year":"1916","journal-title":"Ann Dermatol Syph"},{"key":"bibr2-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1930.01440160053009"},{"key":"bibr3-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(96)90428-4"},{"key":"bibr4-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-200001000-00004"},{"key":"bibr5-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1999.tb00419.x"},{"key":"bibr6-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199907000-00016"},{"key":"bibr7-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.3810\/pgm.2002.12.1373"},{"key":"bibr8-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.73.4.369"},{"key":"bibr9-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2002.120921"},{"key":"bibr10-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.2298\/VSP0711787Z"},{"key":"bibr11-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(83)70172-6"},{"key":"bibr12-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2008.05.010"},{"key":"bibr13-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90209-X"},{"key":"bibr14-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1159\/000065860"},{"key":"bibr15-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(95)90801-3"},{"key":"bibr16-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(08)80207-1"},{"key":"bibr17-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.2008.00506.x"},{"key":"bibr18-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4362.1992.tb02728.x"},{"key":"bibr19-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1007\/s005350050104"},{"key":"bibr20-7750.2011.10119","first-page":"181","volume":"12","author":"Lucchina S","year":"2009","journal-title":"Chin J Traumatol"},{"key":"bibr21-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.2009.03209.x"},{"key":"bibr22-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000214744.80901.e6"},{"key":"bibr23-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2004.01845.x"},{"key":"bibr24-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.2002.495514.x"},{"key":"bibr25-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.24962"},{"key":"bibr26-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1470.1999.00058.x"},{"key":"bibr27-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100141921"},{"key":"bibr28-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(96)80193-8"},{"key":"bibr29-7750.2011.10119","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1111\/j.1346-8138.1996.tb03981.x","volume":"23","author":"Kitagawa N","year":"1996","journal-title":"J Dermatol"},{"key":"bibr30-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.76B6.7983134"},{"key":"bibr31-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.1994.tb01821.x"},{"key":"bibr32-7750.2011.10119","first-page":"359","volume":"51","author":"Gasparini G","year":"1993","journal-title":"Cutis"},{"key":"bibr33-7750.2011.10119","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1097\/00003086-199005000-00022","volume":"254","author":"Papilion JD","year":"1990","journal-title":"Clin Orthop Relat Res"},{"key":"bibr34-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(88)80061-3"},{"key":"bibr35-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(87)90170-7"},{"key":"bibr36-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198707000-00005"},{"key":"bibr37-7750.2011.10119","first-page":"125","volume":"37","author":"Griffiths HJ","year":"1986","journal-title":"Can Assoc Radiol J"},{"key":"bibr38-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1016\/0266-4356(85)90040-3"},{"key":"bibr39-7750.2011.10119","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(83)80128-2"}],"container-title":["Journal of Cutaneous Medicine and Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2310\/7750.2011.10119","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.2310\/7750.2011.10119","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2310\/7750.2011.10119","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:49:03Z","timestamp":1777391343000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.2310\/7750.2011.10119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,11]]},"references-count":39,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2011,11]]}},"alternative-id":["10.2310\/7750.2011.10119"],"URL":"https:\/\/doi.org\/10.2310\/7750.2011.10119","relation":{},"ISSN":["1203-4754","1615-7109"],"issn-type":[{"value":"1203-4754","type":"print"},{"value":"1615-7109","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,11]]}}}