Neutrophilic dermatoses: Pyoderma gangrenosum and other bowel- and arthritis-associated neutrophilic dermatoses.

Neutrophilic dermatoses are a heterogeneous group of inflammatory skin disorders that present with unique clinical features but are unified by the presence of a sterile, predominantly neutrophilic infiltrate on histopathology. The morphology of cutaneous lesions associated with these disorders is he...

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Publicado en:Journal of the American Academy of Dermatology Vol. 79; no. 6; pp. 1009 - 1023
Autores principales: Ashchyan, Hovik J., Nelson, Caroline A., Stephen, Sasha, James, William D., Micheletti, Robert G., Rosenbach, Misha
Formato: review tables/charts Journal Article
Publicado: Elsevier B.V. Dec2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Neutrophilic dermatoses: Pyoderma gangrenosum and other bowel- and arthritis-associated neutrophilic dermatoses.
      aug:
        au:
          Ashchyan, Hovik J.
          Nelson, Caroline A.
          Stephen, Sasha
          James, William D.
          Micheletti, Robert G.
          Rosenbach, Misha
        affil: Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
      sug:
        subj:
          Arthritis Complications
          Pyoderma Gangrenosum Etiology
          Pyoderma Gangrenosum Diagnosis
          Pyoderma Gangrenosum Pathology
          Pyoderma Gangrenosum Epidemiology
          Disease Management
          Still's Disease, Adult-Onset Etiology
          Postoperative Complications Etiology
          Skin Ulcer Etiology
          Immunosuppressive Agents Therapeutic Use
          Still's Disease, Adult-Onset Epidemiology
          Neutrophils Pathology
          Still's Disease, Adult-Onset Diagnosis
          Diagnosis, Differential
          Still's Disease, Adult-Onset Pathology
          Arthritis, Rheumatoid Complications
          Surgery, Digestive System
          Wound Healing
          Arthritis Immunology
          Inflammatory Bowel Diseases Complications
          Arthritis, Rheumatoid Immunology
          Reoperation
          Inflammation
          Neutrophils Immunology
          Antiinflammatory Agents Therapeutic Use
      ab: Neutrophilic dermatoses are a heterogeneous group of inflammatory skin disorders that present with unique clinical features but are unified by the presence of a sterile, predominantly neutrophilic infiltrate on histopathology. The morphology of cutaneous lesions associated with these disorders is heterogeneous, which renders diagnosis challenging. Moreover, a thorough evaluation is required to exclude diseases that mimic these disorders and to diagnose potential associated infectious, inflammatory, and neoplastic processes. While some neutrophilic dermatoses may resolve spontaneously, most require treatment to achieve remission. Delays in diagnosis and treatment can lead to significant patient morbidity and even mortality. Therapeutic modalities range from systemic corticosteroids to novel biologic agents, and the treatment literature is rapidly expanding. The second article in this continuing medical education series reviews the epidemiology, clinical characteristics, histopathologic features, diagnosis, and management of pyoderma gangrenosum as well as bowel-associated dermatosis-arthritis syndrome and the arthritis-associated neutrophilic dermatoses rheumatoid neutrophilic dermatitis and adult Still disease.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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