Pyoderma Gangrenosum: A Current Problem as Much as an Unknown One.

Pyoderma gangrenosum (PG) is a rare neutrophilic inflammatory skin disease, characterized by recurrent skin ulcers, which in almost 50% of cases are associated with systemic autoimmune disorders, including rheumatoid arthritis, chronic hepatitis, inflammatory bowel disease, paraproteinemias and hema...

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Publicado en:International Journal of Lower Extremity Wounds Vol. 16; no. 3; pp. 191 - 202
Autores principales: Vallini, Valerio, Andreini, Roberto, Bonadio, Angelo
Formato: pictorial research systematic review tables/charts Journal Article
Publicado: Sage Publications Inc. Sep2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
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        atl: Pyoderma Gangrenosum: A Current Problem as Much as an Unknown One.
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        au:
          Vallini, Valerio
          Andreini, Roberto
          Bonadio, Angelo
        affil: Ospedale Santa Maria Maddalena–Volterra, Azienda Usl Nordovest, Toscana, Italy
      sug:
        subj:
          Pyoderma Gangrenosum Therapy
          Human
          Systematic Review
          PubMed
          Embase
          Inflammation
          Skin Ulcer
          Wound Healing
      ab: Pyoderma gangrenosum (PG) is a rare neutrophilic inflammatory skin disease, characterized by recurrent skin ulcers, which in almost 50% of cases are associated with systemic autoimmune disorders, including rheumatoid arthritis, chronic hepatitis, inflammatory bowel disease, paraproteinemias and hematological malignancies. A systematic search of literature for PG was carried out using the PubMed, Embase, and Google Scholar databases for the purpose of this review and 2780 articles were retrieved up to February 2017. Inflammation represents the predominant aspect of the disease, but its pathophysiological mechanisms are not completely clear yet, since there are many studies showing only one or more isolated findings of the disease. The goal of PG treatment is to reduce inflammation in order to promote ulcer healing by minimizing side effects of therapy. Several systemic and local treatments are available, but the lack of large randomized double-blind studies results in an absence of a uniform therapeutic standard: thus, more clinical studies are required in order to make head-to-head comparisons between combination and single-drug therapies and to identify specific combination therapies for distinctive clinical patterns of PG.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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