Crohn's Disease Associated Pyoderma Gangrenosum Treated with Adalimumab.

Pyoderma gangrenosum is a known, though infrequent, ulcerative skin lesion that is often associated with systemic inflammatory and immunologic diseases. Objective: To present the efficacy of Adalimumab, a fully human Tumour Necrosis Factor-á antagonist, in the treatment of pyoderma gangrenosum asso...

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Published in:Balkan Medical Journal Vol. 29; no. 1; pp. 93 - 96
Main Authors: Kakagia, Despoina, Efremidou, Eleni, Lyratzopoulos, Nikolaos, Mitrakas, Alexandros, Pitiakoudis, Michael, Kouklakis, George
Format: case study pictorial Journal Article
Published: Galenos Yayinevi Tic. LTD. STI Mar2012
Online Access:View this record in EBSCOhost
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      pub: Galenos Yayinevi Tic. LTD. STI
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        atl: Crohn's Disease Associated Pyoderma Gangrenosum Treated with Adalimumab.
      aug:
        au:
          Kakagia, Despoina
          Efremidou, Eleni
          Lyratzopoulos, Nikolaos
          Mitrakas, Alexandros
          Pitiakoudis, Michael
          Kouklakis, George
        affil: Democritus University in Thrace Medical School, Plastic, Reconstructive Surgery, Alexandroupolis, Greece
      sug:
        subj:
          Crohn Disease Diagnosis
          Pyoderma Gangrenosum Drug Therapy
          Antibodies, Monoclonal Therapeutic Use
          Comorbidity
          Male
          Adult
          Immunologic Factors
          Tumor Necrosis Factor
          Time Factors
          Adult: 19-44 years
          Male
      ab: Pyoderma gangrenosum is a known, though infrequent, ulcerative skin lesion that is often associated with systemic inflammatory and immunologic diseases. Objective: To present the efficacy of Adalimumab, a fully human Tumour Necrosis Factor-á antagonist, in the treatment of pyoderma gangrenosum associated with Crohn's disease. Methods: A young male patient with pyoderma gangrenosum of the shin as the first sign of clinically active Crohn's disease, who was treated with Adalimumab, is herein presented. Results: Almost complete healing of the lesion was achieved after 12 weeks of treatment. Conclusions: Successful treatment outcome suggests that Adalimumab is not only a therapeutic option for Crohn's disease but may also be a safe and effective therapy for Pyoderma gangrenosum associated with the disease. Pyoderma gangrenosum should be suspected in any cutaneous ulcerative lesion occurring in patients with Crohn's disease.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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