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Cutaneous malakoplakia masquerading as pyoderma gangrenosum
Authors:Mariam Smith‐Pliego  Jose Contreras‐Ruiz  Siobhan Ryan  R Gary Sibbald  Wedad Hanna  Rodrigo Roldan‐Marin
Affiliation:1. Department of Dermatology, “Dr. Manuel Gea Gonzalez” General Hospital, Mexico City, Mexico;2. International Interdisciplinary Wound and Ostomy Care Center, Sunnybrook & Women's College Health Sciences Centre, Toronto, Canada;3. Department of Pathology, Sunnybrook & Women's College Health Sciences Centre, Toronto, Canada;4. Faculty of Medicine, Universidad Nacional Autónoma de México, Mexico City, Mexico
Abstract:Cutaneous malakoplakia is a rare infection‐related granulomatous disease frequently associated with immunocompromised states. Foamy macrophages containing basophilic granules, called the Michaelis–Gutman bodies, are pathognomonic. We report a case of cutaneous malakoplakia in a 77‐year‐old male with pyoderma gangrenosum and a 2‐year history of a non‐healing malleolar ulcer treated successfully with cotrimoxazole.
Keywords:Cutaneous malakoplakia  Michaelis–  Gutmann bodies  Pyoderma gangrenosum  Skin ulcer
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