Mayar Albahrani*, Yousef Alweshahi, Ahmed Almoqbali and Asma Alajmi
We report a rare case of a 49-year-old Omani woman who is known to have primary Anti-Phospholipid Syndrome (APS), Glucose-6-Phosphate Dehydrogenase deficiency (G6PD) and Iron Deficiency Anaemia (IDA). During cannulation she was found to develop bulla that progressed to ulcerations. With chronicity and recurrent abscess formation that usually increase after surgical intervention, a pathergy phenomenon was postulated. High suspicion of Pyoderma Gangrenosum (PG) was considered. Fortunately the rapid progression of the disease was slowed down with corticosteroid, cyclosporin and biologic agents.