Recognizing Pyoderma Gangrenosum in a Patient with History of Essential Thrombocytosis

We describe a 62-year old man diagnosed with pyoderma gangrenosum following a traumatic injury to the hand. The patient was originally misdiagnosed with cellulitis and his condition did not improve with oral or intravenous antibiotics. The wound dramatically improved following institution of intravenous steroids. Pyoderma gangrenosum should be considered in the differential of a non-healing cellulitis following traumatic injury.