Pyoderma gangrenosum in a patient with chronic granulomatous disease: A case report.

Rationale: The simultaneous occurrence of pyoderma gangrenosum (PG) and chronic granulomatous disease (CGD) is uncommon and few cases have been reported worldwide.Patient Concerns: PG is a rare, chronic, ulcerative, neutrophilic skin disease of unknown etiology that requires immunosuppressive treatm...

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Publicado en:Medicine Vol. 96; no. 31; pp. 1 - 7
Autores principales: Nanoudis, Sideris, Tsona, Afroditi, Tsachouridou, Olga, Morfesis, Petros, Loli, Georgia, Georgiou, Adamantini, Zebekakis, Pantelis, Metallidis, Symeon
Formato: case study Journal Article
Publicado: Lippincott Williams & Wilkins 8/4/2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/4/2017
      vid: 96
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Pyoderma gangrenosum in a patient with chronic granulomatous disease: A case report.
      aug:
        au:
          Nanoudis, Sideris
          Tsona, Afroditi
          Tsachouridou, Olga
          Morfesis, Petros
          Loli, Georgia
          Georgiou, Adamantini
          Zebekakis, Pantelis
          Metallidis, Symeon
        affil: 1st Department of Internal Medicine, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
      sug:
        subj:
          Granuloma Complications
          Pyoderma Gangrenosum Complications
          Ulcer Complications
          Pyoderma Gangrenosum Therapy
          Adult
          Ulcer Pathology
          Male
          Ulcer Therapy
          Granuloma Pathology
          Granuloma Therapy
          Ulcer Diagnosis
          Pyoderma Gangrenosum Pathology
          Granuloma Diagnosis
          Pyoderma Gangrenosum Diagnosis
          Diagnosis, Differential
          Adult: 19-44 years
          Male
      ab: Rationale: The simultaneous occurrence of pyoderma gangrenosum (PG) and chronic granulomatous disease (CGD) is uncommon and few cases have been reported worldwide.Patient Concerns: PG is a rare, chronic, ulcerative, neutrophilic skin disease of unknown etiology that requires immunosuppressive treatment. CGD belongs to Primary Immune Deficiencies in which the main defect lies in an inability of the phagocytic cells to generate superoxide making patients susceptible to serious, potentially life-threatening bacterial and fungal infections.Diagnoses: In this manuscript, we present a case of ulcerative pyoderma gangrenosum in a 28-year-old man with recent diagnosis of chronic granulomatous disease during hospitalization for resistant pulmonary tuberculosis complicated with Aspergillus infection.Interventions: Second-line therapy with dapsone and intravenous immunoglobulin was initially administered but eventually corticosteroids were added to treatment because of disease progression and further ulceration.Outcomes: Patient's ulcers were gradually healed with no side effects.Lessons: Corticosteroids could be used under close monitoring for the treatment of PG in a patient with CGD, despite the increased risk for infections.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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