Delayed diagnosis of pyoderma gangrenosum: a case study.
Pyoderma gangrenosum (PD) is a rare, chronic, relapsing, ulcerative, neutrophilic cutaneous disease and may be difficult to recognize. It is not uncommon for PD to be mistakenly diagnosed as vascular occlusive or venous disease, vasculitis, cancer, infection, exogenous tissue injury, or other inflam...
| Publicado en: | Ostomy Wound Management Vol. 54; no. 11; pp. 32 - 37 |
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| Autores principales: | , , , , |
| Formato: | case study pictorial review Journal Article |
| Publicado: |
HMP Global
2008 Nov
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105587296&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105587296 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08895899 4F3 jtl: Ostomy Wound Management issn: 08895899 maglogo: N pubinfo: dt: 2008 Nov vid: 54 iid: 11 pid: 20465 pub: HMP Global place: Malvern, Pennsylvania artinfo: ui: 105587296 105587296 2010121974 NLM19037135 105587296 ppf: 32 ppct: 5 formats: tig: atl: Delayed diagnosis of pyoderma gangrenosum: a case study. aug: au: Contreras-Ruiz J Kresch-Tronik NS de la Cruz-Garcia MI Mercado-Ceja S Lozano-Platonoff A affil: Interdisciplinary Wound and Ostomy Care Center (IWOCC), Tlalpan, D.F., Mexico; Email: contruiz@gmail.com sug: subj: Diagnosis, Delayed Pyoderma Gangrenosum Diagnosis Administration, Topical Biopsy Female Immunosuppressive Agents Administration and Dosage Mexico Middle Age Prednisone Therapeutic Use Pyoderma Gangrenosum Drug Therapy Pyoderma Gangrenosum Pathology Pyoderma Gangrenosum Symptoms Pyoderma Gangrenosum Therapy Wound Healing Middle Aged: 45-64 years Female ab: Pyoderma gangrenosum (PD) is a rare, chronic, relapsing, ulcerative, neutrophilic cutaneous disease and may be difficult to recognize. It is not uncommon for PD to be mistakenly diagnosed as vascular occlusive or venous disease, vasculitis, cancer, infection, exogenous tissue injury, or other inflammatory disorders. A 55-year-old woman with a 5-year history of a very painful and enlarging ulcer presented at the authors' clinic. Previously, based on an original diagnosis of venous ulcer, the wound had been surgically debrided and managed with saline-soaked gauze and compression therapy. After the authors secured a complete history (which included rheumatoid arthritis) and assessment, PD was suspected. A biopsy was performed for histological confirmation. Pyoderma gangrenosum treatment, including oral corticosteroids and topical 0.01% tacrolimus twice daily covered with nonadhesive gauze and compression wrapping, was started. After 4 weeks, the wound had improved noticeably and pain medications to manage wound pain were discontinued. The wound was completely healed after 4 months. The presence or absence of PD must be ascertained in all patients who present with a history of painful lower leg ulcers and PD risk factors, such as rheumatoid arthritis. pubtype: Academic Journal doctype: case study pictorial review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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