Pyoderma gangrenosum on the nose.
Pyoderma gangrenosum is a rare ulcerative condition associated with various systemic diseases. Lesions on the lower extremities and the trunk are common, but lesions on the nose are rare. Here we report a case of pyoderma gangrenosum on the nose. A 33-year-old woman presented with fever, nasal obstr...
| Publicado en: | Auris Nasus Larynx Vol. 45; no. 5; pp. 1130 - 1135 |
|---|---|
| Autores principales: | , , , , |
| Formato: | case study review Journal Article |
| Publicado: |
Elsevier B.V.
Oct2018
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130074635&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130074635 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03858146 J9C jtl: Auris Nasus Larynx issn: 03858146 maglogo: N pubinfo: dt: Oct2018 vid: 45 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 130074635 130074635 NLM29753583 130074635 10.1016/j.anl.2018.04.004 NLM29753583 130074635 ppf: 1130 ppct: 5 formats: tig: atl: Pyoderma gangrenosum on the nose. aug: au: Tomioka, Takuya Soma, Keiko Sato, Yoichiro Miura, Koshiro Endo, Ayako affil: Department of Otolaryngology, Japanese Red Cross Ashikaga Hospital, Yobe-cho 284-1, Ashikaga, Tochigi, 326-0843, Japan sug: subj: Pyoderma Gangrenosum Diagnosis Nasal Septum Abscess Nose Diseases Diagnosis Pyoderma Gangrenosum Complications Disease Progression Adrenal Cortex Hormones Therapeutic Use Pyoderma Gangrenosum Therapy Abscess Therapy Colitis, Ulcerative Complications Drainage Nose Diseases Therapy Female Adult Tomography, X-Ray Computed Nose Diseases Complications Antibiotics Therapeutic Use Adult: 19-44 years Female ab: Pyoderma gangrenosum is a rare ulcerative condition associated with various systemic diseases. Lesions on the lower extremities and the trunk are common, but lesions on the nose are rare. Here we report a case of pyoderma gangrenosum on the nose. A 33-year-old woman presented with fever, nasal obstruction, and painful swelling on the nasal bridge. Physical examination revealed swellings on the nasal septal mucosa bilaterally. Computed tomography showed a septal abscess and a subcutaneous abscess on the nasal bridge. The lesions worsened despite treatment with intravenous antibiotics and abscess drainage. Meanwhile, the patient also complained of bloody stools and was diagnosed with ulcerative colitis. Therefore, pyoderma gangrenosum on the nose was suspected, and was diagnosed by exclusion of other diseases. Treatment with systemic corticosteroids was started and the nasal lesions improved rapidly. However, saddle nose deformity occurred. A review of the literature reveals that pyoderma gangrenosum on the nose can cause ulcerations, septal abscess, and sinusitis. Further, there is a high likelihood of nasal complications, including saddle nose deformity, septal perforation, and skin defects. Pyoderma gangrenosum should be included in the differential diagnosis when nasal ulceration, abscesses, and sinusitis do not improve with antibiotics and drainage. pubtype: Academic Journal doctype: case study review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|