Pyoderma Gangrenosum as a Presenting Symptom of Inflammatory Bowel Disease

Pyoderma gangrenosum (PG) is a rare ulcerative dermatosis, with over half of cases associated with a systemic inflammatory condition. PG is a rare condition, and its diagnosis often proves elusive as its clinical and histopathologic findings are nonspecific; indeed, it is considered a diagnosis of exclusion. We present a case of PG as the presenting symptom of a patient's previously undiagnosed inflammatory bowel disease, highlighting the necessity of initiating a broad work-up for associated systemic inflammatory conditions when a diagnosis of PG is suspected or confirmed.