This 51 year old man has horribly painful ulcerations on the plantar surface of both feet. He was cured of Hepatitis C with Sofosbuvir a year ago. The ulcer did not improve with prednisone, cyclosporine, or topical Aczone gel. After multiple biopsies the lesion was determined to be an unusual presentation of pyoderma gangrenosum.

Caroline Fife, MD
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