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Claus Wittekindt, MD; Jan-Christoffer Lüers, MD; Jens-Peter Klussmann, MD; Karl-Bernd Hüttenbrink, MD

Arch Otolaryngol Head Neck Surg. 2007;133(1):83-85.

Ulcerative pyoderma gangrenosum (PG) is defined as a skin gangrene with crumbling, greasy ulcerations lacking a microbiological genesis. In approximately 12% of cases of chronically nonhealing wounds, PG is reported to be the cause.¹ It is a dermatosis and a noninfectious inflammatory skin disease with an immunological background.^2-3 The appearance of PG in the area of the head and neck is rare and may well be misdiagnosed.

Author Affiliations: Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Cologne, Cologne, Germany. Dr Wittekindt is now with the Department of Otorhinolaryngology, Friedrich-Schiller-Universität Jena, Jena, Germany.