Print Overview Advanced pyoderma gangrenosum Enlarge image Close Advanced pyoderma gangrenosum Advanced pyoderma gangrenosum Pyoderma gangrenosum can cause painful, open sores that have blue or purple edges. Pyoderma gangrenosum (pie-o-DUR-muh gang-ruh-NO-sum) is a rare condition that causes large, painful sores on the skin. The sores can develop quickly. Most often they appear on the legs. The exact causes of pyoderma gangrenosum are unknown, but it appears to be a disorder of the immune system. People who have certain other conditions are at higher risk of pyoderma gangrenosum. The condition usually clears up with treatment. But the sores often leave scars and can show up in new spots.Products & ServicesA Book: Mayo Clinic Family Health BookNewsletter: Mayo Clinic Health Letter — Digital EditionShow more products from Mayo Clinic SymptomsPyoderma gangrenosum usually starts with a small bump on the skin. It might look like a spider bite. Within days it can turn into a large and painful open sore. The sore usually appears on the legs but may develop anywhere on the body. Sometimes it appears around surgical sites. If you have two or more sores, they may grow and merge into one. When to see a doctorTalk with a healthcare professional if you develop a painful, rapidly growing skin wound. Request an appointment Risk factorsCertain factors may increase your risk of pyoderma gangrenosum, including: Being a woman between 20 and 50 years of age. Having an inflammatory bowel disease, such as ulcerative colitis or Crohn's disease. Having rheumatoid arthritis. Having a blood disorder, such as acute myelogenous leukemia or myelodysplasia. By Mayo Clinic Staff Pyoderma gangrenosum care at Mayo Clinic Request an appointment Diagnosis & treatment Dec. 05, 2024 Print Show references AskMayoExpert. Pyoderma gangrenosum. Mayo Clinic; 2024. Bolognia JL, et al. Neutrophilic dermatoses. In: Dermatology. 5th ed. Elsevier; 2025. https://www.clinicalkey.com. Accessed Aug. 7, 2024. Tolkachjov SN, et al. Postoperative pyoderma gangrenosum (PG): The Mayo Clinic experience of 20 years from 1994 through 2014. Journal of the American Academy of Dermatology. 2015;73:615. Afifi L, et al. Diagnosis and management of periostomal pyoderma gangrenosum: A systematic review. Journal of the American Academy of Dermatology. 2018;78:1195. Saavedra AP, et al., eds. Neutrophil-mediated diseases. In: Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology. 9th ed. McGraw Hill; 2023. https://dermatology.mhmedical.com. Accessed Aug. 7, 2024. Calonje E, et al., eds. Neutrophilic and eosinophilic dermatoses. In: McKee's Pathology of the Skin with Clinical Correlations. 5th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Aug. 7, 2024. Pyoderma gangrenosum. Photo Gallery of Skin Conditions. University of New Mexico School of Medicine. https://hsc.unm.edu/medicine/departments/dermatology/inclusive-dermatology/pyoderma-gangrenosum.html. Accessed Aug. 8, 2024. Biopsy. Dorland's Medical Dictionary Online. https://www.dorlands.com. Accessed Aug. 5, 2024. Treatments. International Pemphigus & Pemphigoid Foundation. https://www.pemphigus.org/treatments. Accessed Aug. 5, 2024. Kelly AP, et al., eds. Acquired bullous diseases. In: Taylor and Kelly's Dermatology for Skin of Color. 2nd ed. McGraw Hill; 2016. https://dermatology.mhmedical.com. Accessed Aug. 1, 2024. Schadt C. Pyoderma gangrenosum: Treatment and diagnosis. https://www.uptodate.contents/search. Accessed Aug. 8, 2024. Sominidi Damodaran S (expert opinion). Mayo Clinic. Sept. 5, 2024. Related Advanced pyoderma gangrenosum Associated Procedures Skin biopsy Products & Services A Book: Mayo Clinic Family Health Book Newsletter: Mayo Clinic Health Letter — Digital Edition Show more products and services from Mayo Clinic Pyoderma gangrenosumSymptoms&causesDiagnosis&treatmentDoctors&departmentsCare atMayoClinic Advertisement Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Advertising & Sponsorship Policy Opportunities Ad Choices Mayo Clinic Press Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. NEW: Mayo Clinic Guide to Better Sleep Listen to Health Matters Podcast Mayo Clinic on Incontinence The Essential Diabetes Book FREE Mayo Clinic Diet Assessment Mayo Clinic Health Letter - FREE book CON-20154762 Patient Care & Health Information Diseases & Conditions Pyoderma gangrenosum