PYODERMA-GANGRENOSUM ASSOCIATED WITH CYSTIC ACNE AND HIDRADENITIS SUPPURATIVA CONTROLLED BY ADDING MINOCYCLINE AND SULFASALAZINE TO THE TREATMENT REGIMEN

Pyoderma gangrenosum often presents a difficult therapeutic challenge. The case is described of a 42-year-old black man with the association of cystic acne, hidradenitis suppurativa, and seronegative arthritis with pyoderma gangrenosum. The pyoderma gangrenosum ulcers remained re fractory to treatment until therapies aimed in part at the associated diseases were begun. Minocycline was given for treatment of cystic acn e and hidradenitis suppurativa as well as pyoderma gangrenosum. Sulfas alazine was prescribed for seronegative arthritis as well as pyoderma gangrenosum. The combination therapy permitted healing of the pyoderma gangrenosum ulcers.