Pyostomatitis vegetans (PSV)-pyodermatitis vegetans (PDV): A clinicopathologic study of 7 cases at a tertiary referral center.

Background: Pyostomatitis vegetans (PSV)-pyodermatitis vegetans (PDV) is a rare inflammatory mucocutaneous disease associated with inflammatory bowel disease.Objective: We sought to evaluate the clinicopathologic findings of PSV-PDV in a series of 7 patients.Methods: We conducted a retrospective rev...

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Publicado en:Journal of the American Academy of Dermatology Vol. 75; no. 3; pp. 578 - 585
Autores principales: Clark, Leon G., Tolkachjov, Stanislav N., Bridges, Alina G., Camilleri, Michael J.
Formato: case study research Journal Article
Publicado: Elsevier B.V. Sep2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2016
      vid: 75
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.jaad.2016.03.047
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        atl: Pyostomatitis vegetans (PSV)-pyodermatitis vegetans (PDV): A clinicopathologic study of 7 cases at a tertiary referral center.
      aug:
        au:
          Clark, Leon G.
          Tolkachjov, Stanislav N.
          Bridges, Alina G.
          Camilleri, Michael J.
        affil: Mayo Medical School, College of Medicine, Mayo Clinic, Rochester, Minnesota
      sug:
        subj:
          Pyoderma Pathology
          Pyoderma Epidemiology
          Stomatitis Epidemiology
          Stomatitis Pathology
          Inflammatory Bowel Diseases Epidemiology
          Inflammatory Bowel Diseases Diagnosis
          Incidence
          Demography
          Probability Sample
          Biopsy, Needle
          Comorbidity
          Male
          Immunohistochemistry
          Hospitals, Special
          Adult
          Stomatitis Diagnosis
          Pyoderma Diagnosis
          Young Adult
          Severity of Illness Indices
          Female
          Middle Age
          Retrospective Design
          Risk Assessment
          Prognosis
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Pyostomatitis vegetans (PSV)-pyodermatitis vegetans (PDV) is a rare inflammatory mucocutaneous disease associated with inflammatory bowel disease.Objective: We sought to evaluate the clinicopathologic findings of PSV-PDV in a series of 7 patients.Methods: We conducted a retrospective review of all cases of PSV-PDV at the Mayo Clinic from 1995 to 2014.Results: Seven patients with PSV-PDV were included, and all had inflammatory bowel disease. Three had Crohn's disease and 4 had ulcerative colitis. Three patients had peripheral blood eosinophilia. Two had concomitant pyoderma gangrenosum in which pyoderma gangrenosum lesions were recalcitrant to therapy. Primary sclerosing cholangitis was seen in 3 patients. Two patients had direct and 3 had indirect immunofluorescence findings. Tissue eosinophilia was seen in the majority of mucosal and cutaneous lesions.Limitations: Limited sample size and retrospective study design are limitations.Conclusions: PSV-PDV is associated with inflammatory bowel disease and primary sclerosing cholangitis and may precede gastrointestinal symptoms. Immunofluorescence findings in select PSV-PDV cases may indicate possible overlap with autoimmune bullous disease. Tissue eosinophilia may be helpful in distinguishing PSV-PDV from pyoderma gangrenosum. Strict control of bowel disease and close monitoring of patients with subclinical disease is warranted.
      pubtype: Academic Journal
      doctype:
        case study
        research
        Journal Article
      ougenre: Article
    language: English
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