Improvement of idiopathic pyoderma gangrenosum during treatment with anti-tumor necrosis factor alfa monoclonal antibody.

Pyoderma gangrenosum (PG) is an inflammatory ulcerative condition of unknown etiology. An autoimmune mechanism including immune complex-mediated neutrophilic vascular reactions has been suggested. The role of tumor necrosis factor (TNF) in PG remains unclear. Evidence supports the idea that TNF play...

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Publicado en:International Journal of Lower Extremity Wounds Vol. 6; no. 2; pp. 108 - 114
Autores principales: Dini V, Romanelli M, Bertone M, Talarico S, Bombardieri S, Barachini P
Formato: case study pictorial Journal Article
Publicado: Sage Publications Inc. Jun2007
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2007
      vid: 6
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Improvement of idiopathic pyoderma gangrenosum during treatment with anti-tumor necrosis factor alfa monoclonal antibody.
      aug:
        au:
          Dini V
          Romanelli M
          Bertone M
          Talarico S
          Bombardieri S
          Barachini P
        affil: Wound Healing Research Unit, Department of Dermatology
      sug:
        subj:
          Infliximab Administration and Dosage
          Leg Ulcer Therapy
          Pyoderma Gangrenosum Drug Therapy
          Tumor Necrosis Factor
          Aged
          Female
          Infliximab Adverse Effects
          Middle Age
          Pyoderma Gangrenosum Risk Factors
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
      ab: Pyoderma gangrenosum (PG) is an inflammatory ulcerative condition of unknown etiology. An autoimmune mechanism including immune complex-mediated neutrophilic vascular reactions has been suggested. The role of tumor necrosis factor (TNF) in PG remains unclear. Evidence supports the idea that TNF plays a role in chronic inflammation and migration of neutrophils to these lesions. PG is frequently associated with various diseases, but up to 50% of cases are idiopathic. There are several reports describing the successful use of infliximab (Remicade, Centocor, Inc, Horsham, Pa), a chimeric antitumor necrosis factor alpha monoclonal antibody, in the treatment of inflammatory bowel disease- associated PG, but there have been few reported cases of infliximab in the treatment of idiopathic PG. The authors present a dramatic improvement in 4 cases of idiopathic PG of the lower leg treated with infliximab.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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