A case of pyoderma gangrenosum successfully treated with intravenous immune globulin.

Pyoderma gangrenosum is a neutrophilic dermatosis that may be idiopathic or associated with an underlying disease. It is the result of an exaggerated response to specific and non-specific stimuli. First-line treatment is with a steroid, usually prednisone. In this case report, a 25-year-old man pres...

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Published in:World Wide Wounds pp. 7p - 8
Main Authors: Carlesimo M, Cantisani C, Mari E, La Pietra M, Rossi A, Li VW, Calvieri S
Format: case study pictorial tables/charts Journal Article
Published: Surgical Materials Testing Laboratory 2007 Jan
Online Access:View this record in EBSCOhost
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      dt: 2007 Jan
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      pub: Surgical Materials Testing Laboratory
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        atl: A case of pyoderma gangrenosum successfully treated with intravenous immune globulin.
      aug:
        au:
          Carlesimo M
          Cantisani C
          Mari E
          La Pietra M
          Rossi A
          Li VW
          Calvieri S
        affil: Department of Dermatology and Plastic Surgery, University La Sapienza, Rome, Italy
      sug:
        subj:
          Immunoglobulins, Intravenous Therapeutic Use
          Pyoderma Gangrenosum Drug Therapy
          Adult
          Drug Administration Schedule
          Immunoglobulins, Intravenous Administration and Dosage
          Immunoglobulins, Intravenous Pharmacodynamics
          Male
          Prednisone Administration and Dosage
          Pyoderma Gangrenosum Pathology
          Skin Transplantation
          Treatment Failure
          Treatment Outcomes
          Adult: 19-44 years
          Male
      ab: Pyoderma gangrenosum is a neutrophilic dermatosis that may be idiopathic or associated with an underlying disease. It is the result of an exaggerated response to specific and non-specific stimuli. First-line treatment is with a steroid, usually prednisone. In this case report, a 25-year-old man presented with an ulcerated lesion that had appeared spontaneously one year previously. He was treated with prednisone, but this was ineffective. Treatment with intravenous immune globulin (IVIG), however, proved successful. IVIG contains a broad range of antibodies that act against bacterial and viral antigens and is used to treat inflammatory and autoimmune diseases. Its use is therefore recommended for consideration in cases of pyoderma gangrenosum that are steroid resistant.
      pubtype: Periodical
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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