A 54yo male patient has quickly developing symptoms of severe, constant, and painful swelling on his left leg, tachycardia, and fever of 102°F. He presents with these blotches on his leg the next day, where the pain has gone from intense and unbearable to anesthesia. Pt has a history of diabetes. Your thoughts? What is causing his symptoms?

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It is a case of pyoderma gangrenosum It is disease of skin with very painful ulcers. It is associated with autoimmune disease like ulcerative colitis. Crohn's s disease and arthritis. This skin lesion is caused by coagulase negative streptococci, staphylococcus or meningococcus. Treatment As the PT is diabetic strict glycaemic control by insulin. Antibiotic Cyclosporine is very effective in some patients Azathyprine and cyclophosphamide like immono suppressive drugs ars effective Tomours necrosis inhibitors are highly effective Treatment process is long term process.

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Necrotising fascitis Pyoderma is not that painful

Necrotizing fascitis

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Pyoderma gangrenous

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Pyoderma gangrenous

Pyoderma Gangrenous

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