Pyoderma gangrenosum |
Autoimmune conditions, hematologic malignancies, idiopathic in up to 50 % |
Tender papulopustules with surrounding erythema that develop into ulcers with purulent base.Typically on lower extremities, tend to be painful with undermined edges. Heaped up borders with gun-metal gray color. Necrosis extends with surgical intervention |
Lymphedema/chronic venous stasis |
Multiple—cardiac dysfunction, renal failure, lymph node surgeries, lymph node destruction (filariasis), varicose veins |
In volume overload states, often symmetric and bilateral |
Deep venous thrombosis |
Thrombosis |
Can be hard to differentiate on exam alone, may be suggested by history—i.e. prolonged immobility, genetic risk factors |
Loxoscelism |
Brown recluse spider bite |
Retiform purpura |