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

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Presentation on theme: "Dorene Niv, DO, James A. Ramirez, MD, David P. Fivenson, MD "— Presentation transcript:

1 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 (January 2017) DOI: /j.jdcr Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

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

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

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

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

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

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

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

9 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: ( /j.jdcr ) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

10 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: ( /j.jdcr ) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions


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