DOI: https://doi.org/10.36347/sjmcr.2025.v13i10.105

Pages: 2626-2629

Pyoderma gangrenosum is a neutrophilic dermatosis characterized by aseptic skin ulcerations and may reveal an underlying systemic disease. Extracutaneous manifestations of pyoderma gangrenosum and other neutrophilic dermatoses are rare, most often involving the lungs. Through this work, we report the case of a patient presenting with a pyoderma gangrenosum associated with splenic abscesses. We report the case of an 81-year-old patient who was hospitalized for multiple lower limb ulcerations in the context of general malaise and unquantified fever. Biological tests revealed an inflammatory syndrome. Abdominal CT scan and MRI showed intrasplenic and subcapsular collections suggestive of splenic abscesses. The diagnosis of pyoderma gangrenosum associated with splenic abscesses was made. The patient was started on oral corticosteroids at 1mg/kg/day with good clinical improvement.