medigraphic.com

2023, Number 1

<< Back

Folia 2023; 17 (1)

Pyoderma gangrenosum

Companioni MY, Gómez DY, González TA

Language: Spanish
References: 11
Page:
PDF size: 535.73 Kb.


ABSTRACT

Pyoderma gangrenosum is a rare inflammatory skin disease of unknown etiology that belongs to the spectrum of neutrophilic dermatoses. It is destructive, has a variety of clinical manifestations, especially cutaneous, difficult to diagnose, chronic evolution, with frequent exacerbations and remissions; and there is no effective treatment of choice. Approximately 50 to 70% of cases are associated with systemic processes of various kinds. It is presented a 77-year-old male patient with a health history, who suffered trauma into the right foot dorsum, with a lesion that grew to become an ulcer as the days went by. Despite multiple treatments, the injury worsened. The patient attended to the dermatology service of Camilo Cienfuegos General Hospital in Sancti Spiritus, and a biopsy was indicated and the diagnosis of pyoderma gangrenosum was confirmed. The case was reported, because despite being a rare disease, it can occur in our patients, so it is necessary to think about it in order to diagnose it in a timely manner.


REFERENCES

  1. Powell FC, Hackett BC, Wallach D. Pioderma gangrenoso. En: Goldsmith La, Katz SI, Gilchrest BA, Paller AS, Leffell D, Wolff k, editores. Fitzpatrick Dermatología en medicina general. España: Editorial médica panamericana; 2014. p. 371.

  2. Acosta-García J, Aguilar-García CR. Pioderma gangrenoso. Med Int Méx. 2014;30:92-8.

  3. DeFilipps EM. The genetic of pioderma gangrenosum and implications for treatment: A systematic review. British Journal of Dermatology. 2015;172:1487. DOI: https://doi.org/10.1111/bjd.13493

  4. Stair-Buchmann ME. Pyoderma gangrenosum: A difficult diagnosis best managed in a burn treatment center. Journal of Burn Care Research. 2015 [acceso 31/07/2019];36:3190. Disponible en: https://www.mayoclinic.org/diseases-conditions/pyoderma-gangrenosum/symptoms-causes/syc-20350386

  5. Alavi A. Pyoderma gangrenosum: An update on pathophysiology, diagnosis and treatment. Am J Clin Dermatol. 2017;18:355-72. DOI: https://doi.org/10.1007/s40257-017-0251-7

  6. Soto Vilches F, Vera-Kellet C. Pioderma gangrenoso: terapias clásicas y emergentes. Med Clin (Barc). 2017 [acceso 31/07/2019];149(6):256-60. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0025775317303433

  7. Vallini V, Andreini R, Bonadio A. Pyoderma Gangrenosum: A Current Problem as Much as an Unknown One. Sage journals. 2017 [acceso 31/07/2019];6(3):191-201. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28915774/

  8. AskMayoExpert. Pyoderma gangrenosum. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.

  9. Bolognia JL, Schaffer JV, Cerroni L. Dermatología. 4 ed. Barcelona, España: ELSEVIER; 2018.

  10. Afifi L. Diagnosis and management of periostomal pioderma gangrenosum: A systematic review. Journal of the American Academy of Dermatology. 2018;78:1195. DOI: https://doi.org/10.1016/j.jaad.2017.12.049

  11. Kridin K, Cohen AD, Amber KT. Underlying Systemic Diseases in Pyoderma Gangrenosum: A Systematic Review and Meta-Analysis. Am J Clin Dermatol. 2018 [acceso 31/07/2019]:479-487. Disponible en: https://link.springer.com/article/10.1007/s40257018-0356-7




2020     |     www.medigraphic.com