Abstract
A 79-year-old woman was admitted to our hospital with pustular pyoderma gangrenosum and an associated IgG kappa monoclonal gammopathy. The patient is currently being evaluated for possible multiple myeloma. IgG multiple myeloma and IgG monoclonal gammopathies are very rare in patients with pyoderma gangrenosum. The skin lesions are improving with the use of prednisone.
MeSH terms
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Aged
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Anti-Bacterial Agents / therapeutic use
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Anti-Inflammatory Agents / therapeutic use
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Combined Modality Therapy
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Debridement
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False Positive Reactions
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Female
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Fluorescent Treponemal Antibody-Absorption Test
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Humans
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Immunoglobulin G / analysis*
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Leg Ulcer / drug therapy
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Leg Ulcer / etiology
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Leg Ulcer / surgery
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Multiple Myeloma
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Neutrophils / pathology
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Paraproteinemias / complications*
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Prednisone / therapeutic use
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Pyoderma Gangrenosum / drug therapy
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Pyoderma Gangrenosum / etiology*
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Reoperation
Substances
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Anti-Bacterial Agents
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Anti-Inflammatory Agents
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Immunoglobulin G
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Prednisone