Presenter: Michelle Foley, DO, Brett Bender, DO, Joe Schneider, DO, John Coppola, DO, Brad Neuenschwander, DO, Derrick Adams, DO
Dermatology Program: Michigan State University POH Medical Center / Botsford Hospital
Program Director: Michael Mahon, DO
Submitted on: Jun 25, 2008
CHIEF COMPLAINT: “Painful sores on both hands”
CLINICAL HISTORY:
Signs and symptoms: A 41 yo Caucasian male presented to our clinic with the above chief complaint stating the lesions began to develop after he sustained an abrasion to his right third finger while at work. He began to note multiple similar lesions developing shortly thereafter and was admitted to a local hospital for presumed cellulitis. Unable to tolerate IV vancomycin, he was started on a short course of oral antibiotics and was referred to our service by the infectious disease physician for an evaluation to rule out presumed pyoderma gangrenosum.