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Francisco J. Agullo, MD; Alfredo A. Santillan, MD, MPH; William T. Miller, MD
Author Affiliations: Department of Surgery, Texas Tech University Health Sciences Center, El Paso.

Arch Surg. 2006;141:1143.

INTRODUCTION
A 60-year-old man was referred for closure of an 18-month, recurrent, nonhealing ulcer in the anterior medial aspect of his left leg over a burn scar from a gasoline fire experienced when the patient was 5 years of age. He said that the ulcer commenced after an abrasion in a motorcycle accident 18 months before. On examination, the lesion measured 10 x 5 cm, the borders were erythematosus, and the wound was foul smelling and painful (Figure).

View larger version (35K): [in this window] [in a new window] [as a PowerPoint slide]   Figure. Photograph of an ulcer over a burn scar in the anterior medial aspect of the left leg.

What Is the Diagnosis?

Jump to Section  • Top  • Introduction  • What is the diagnosis?

A. Venous stasis ulcer.

B. Pyoderma gangrenosum.

C. Foreign body abscess.

D. Marjolin ulcer.

Answer

SECTION EDITOR: GRACE S. ROZYCKI, MD

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Arch Surg. 2006;141(11):1144.
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