Recurrent pyoderma gangrenosum precipitated by breast cancer: a case report and review of the literature.

Introduction: Pyoderma gangrenosum is a rare clinical entity of poorly understood pathogenesis, characterized by rapidly progressing skin necrosis. In around half of patients pyoderma gangrenosum is a manifestation of underlying systemic diseases, such as rheumatoid arthritis, inflammatory bowel dis...

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Publicado en:Journal of Medical Case Reports Vol. 8; no. 1; pp. 226 - 227
Autores principales: Duchnowska, Renata, Ziajka, Ewa, Góralska, Agnieszka, Grala, Bartlomiej, Grala, Bartłomiej
Formato: case study review Journal Article
Publicado: BioMed Central 2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Recurrent pyoderma gangrenosum precipitated by breast cancer: a case report and review of the literature.
      aug:
        au:
          Duchnowska, Renata
          Ziajka, Ewa
          Góralska, Agnieszka
          Grala, Bartlomiej
          Grala, Bartłomiej
        affil: Department of Oncology, Military Institute of Medicine, Szaserów 128 Street, 04-141 Warsaw, Poland. rdtt@wp.pl.
      sug:
        subj:
          Breast Neoplasms Complications
          Carcinoma, Ductal, Breast Complications
          Leg Ulcer Etiology
          Pyoderma Gangrenosum Etiology
          Aged
          Female
          Recurrence
          Aged: 65+ years
          Female
      ab: Introduction: Pyoderma gangrenosum is a rare clinical entity of poorly understood pathogenesis, characterized by rapidly progressing skin necrosis. In around half of patients pyoderma gangrenosum is a manifestation of underlying systemic diseases, such as rheumatoid arthritis, inflammatory bowel disease or myeloproliferative disorders. There have been very few reports on the association of pyoderma gangrenosum with solid malignancies.Case Presentation: We report a case of a 68-year-old Caucasian woman in whom pyoderma gangrenosum first appeared around 30 years earlier, at the time of exacerbation of rheumatoid arthritis, and recurred as a manifestation of locally advanced breast cancer. The causative role of the neoplastic process was partly confirmed by the healing of the skin ulceration only following effective endocrine cancer therapy, whereas earlier attempts with standard anti-inflammatory therapy were unsuccessful.Conclusions: Pyoderma gangrenosum has a recurrent nature and may be reactivated by various causes within several years. Therefore, a prompt and thorough diagnosis accompanied by treatment of the underlying disease is necessary.
      pubtype: Academic Journal
      doctype:
        case study
        review
        Journal Article
      ougenre: Article
    language: English
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