Dorene Niv, DO, James A. Ramirez, MD, David P. Fivenson, MD

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Presentation transcript:

Pyoderma gangrenosum, acne, and hidradenitis suppurativa (PASH) syndrome with recurrent vasculitis Dorene Niv, DO, James A. Ramirez, MD, David P. Fivenson, MD JAAD Case Reports Volume 3, Issue 1, Pages 70-73 (January 2017) DOI: 10.1016/j.jdcr.2016.11.006 Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Acute pyoderma gangrenosum on the lower leg. JAAD Case Reports 2017 3, 70-73DOI: (10.1016/j.jdcr.2016.11.006) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Generalized acne on the back. JAAD Case Reports 2017 3, 70-73DOI: (10.1016/j.jdcr.2016.11.006) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Scarring on the lower back from hidradenitis suppurativa. JAAD Case Reports 2017 3, 70-73DOI: (10.1016/j.jdcr.2016.11.006) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 4 Pyoderma gangrenosum ulcer stage. JAAD Case Reports 2017 3, 70-73DOI: (10.1016/j.jdcr.2016.11.006) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 5 Petechiae on right lower extremity. JAAD Case Reports 2017 3, 70-73DOI: (10.1016/j.jdcr.2016.11.006) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 6 Hemorrhagic papules and plaques on left lower extremity. JAAD Case Reports 2017 3, 70-73DOI: (10.1016/j.jdcr.2016.11.006) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 7 Resolving palpable purpura on left lower extremity. JAAD Case Reports 2017 3, 70-73DOI: (10.1016/j.jdcr.2016.11.006) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 8 Perivascular and interstitial infiltrate of neutrophils with leukocytoclasis, extravasation of red blood cells, and focal fibrin deposition within small vessel walls. (Hematoxylin-eosin stain; original magnification: ×10.) JAAD Case Reports 2017 3, 70-73DOI: (10.1016/j.jdcr.2016.11.006) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 9 Ruptured follicle containing a dense neutrophilic infiltrate extending into the surrounding dermis with a patchy perivascular lymphocytic infiltrate. (Hematoxylin-eosin stain; original magnification: ×20.) JAAD Case Reports 2017 3, 70-73DOI: (10.1016/j.jdcr.2016.11.006) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions