PMC5300301_01
Elcotic, inflammatory lesions upon presentation.
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The patient reappeared after 7 days with persistent fever in the afternoons (38,5  C), excruciating pain and a rapidly developing cutaneous ulcer of dimensions 10 x 5 cm, occupying the inferior half of the left breast but relatively sparing part of the areola and nipple (Fig. 1).
One month after treatment during follow up.
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Following treatment with intravenous pulse corticosteroids (1 g methylprednisolone per day for five days) because of the very aggressive and painful manifestation of the disease, we recorded a rapid response (Fig. 2).
Two months after treatment. Significant improvement.
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The pathology report confirmed our hypothesis, revealing skin ulceration covered with purulent exudate, diffuse and perivascular lymphoplasmacytic infiltration at the ulcer borders with necrotizing vasculitis, as in PG (Fig. 3).
No specific ulceration with abscess formation in deep dermis and subcutis.
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Within a two-month follow up period, we have recorded an optimum healing process and the patient has, at the moment, nearly no signs of PG (Fig. 4).