I. main criteria
|
Primary sterile pustule or ulcer with livid, undermined wound-border
[1,14,15,18-21]
|
Exclusion of other relevant differential diagnoses like chronic venous/arterial leg ulcer, pyodermatitis, vasculitis
[1,14,15,18-20]
|
II. additional criteria |
Histology of the wound-border: neutrophilic infiltration of the dermis with signs of vasculitis and accumulation of immunglobulins and/or complement factors beside the vessels
[14,15,20]
|
Existence of relevant, associated concomitant diseases like chronic inflammatory bowel diseases, arthropathies, haematological disorders, neoplasia, endocrine dysfunctions, metabolic syndrome
[14,15]
|
Response to a systemic immunosuppressive therapy or no response to a conventional ulcer-therapy
[15,20]
|
Triggering of a PG by pathergy-phenomenon
[14,15,20]
|
Extremely painful ulcer (VAS > 4 points)
[14,15] |