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J Korean Rheum Assoc. 2008 Jun;15(2):153-158. Korean. Case Report.
Nam SJ , Woo JH , Choi SJ , Ji JD , Song GG , Lee YH .
Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea.

Wegener's granulomatosis is multi-systemic disease characterized by granulomatous necrotizing vasculitis and it usually affects upper and lower respiratory tracts. Cutaneous manifestation as an initial presentation is unusual and comprises about 15% of cases. The most frequent skin lesions are palpable purpura, papules, ulcerations, vesicles, subcutaneous nodules, necrotizing ulcerations. We report a patient with Wegener's granulomatosis who presents as a pyoderma gangrenosum.

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