A Comprehensive Review of Local Pharmacologic Therapy for Pyoderma Gangrenosum.

Pyoderma gangrenosum (PG) is a rare, ulcerative inflammatory skin disease that most commonly occurs in patients with inflammatory bowel disease, rheumatologic diseases, or hematologic diseases. Successful treatment of PG often requires immunosuppression and appropriate wound care. Systemic corticost...

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Publicado en:Wounds: A Compendium of Clinical Research & Practice Vol. 31; no. 6; pp. 151 - 158
Autores principales: Baltazar, David, Haag, Carter, Gupta, Angela S., Marzano, Angelo V., Ortega Loayza, Alex G.
Formato: review tables/charts Journal Article
Publicado: HMP Global Jun2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: HMP Global
      place: Malvern, Pennsylvania
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        atl: A Comprehensive Review of Local Pharmacologic Therapy for Pyoderma Gangrenosum.
      aug:
        au:
          Baltazar, David
          Haag, Carter
          Gupta, Angela S.
          Marzano, Angelo V.
          Ortega Loayza, Alex G.
        affil: College of Osteopathic Medicine of the Pacific-Northwest, Western University of Health Sciences, Pomona, CA
      sug:
        subj:
          Pyoderma Gangrenosum Therapy
          Skin Diseases
          Ulcer
          Inflammatory Bowel Diseases Complications
          Immunosuppression
          Disease Management
          Wound Care
          Adrenal Cortex Hormones Adverse Effects
          Cyclosporine Adverse Effects
          Hyperglycemia Risk Factors
          Osteoporosis Risk Factors
          Hypertension Risk Factors
          Weight Gain Risk Factors
          Pharmacological and Biological Treatments
      ab: Pyoderma gangrenosum (PG) is a rare, ulcerative inflammatory skin disease that most commonly occurs in patients with inflammatory bowel disease, rheumatologic diseases, or hematologic diseases. Successful treatment of PG often requires immunosuppression and appropriate wound care. Systemic corticosteroids and cyclosporine are the first-line treatments for PG. However, chronic use of these systemic agents places patients at risk for developing significant side effects, including hyperglycemia, osteoporosis, hypertension, and weight gain. Furthermore, when treating small or superficial PG ulcers, the use of local agents as monotherapies or adjuvant treatments can be ideal to control inflammation and promote healing without placing the patient at risk for many severe side effects that can be seen with long-term use of systemic agents. This literature review assesses all available local therapies in order to summarize the use and reported efficaciousness of the broad range of local treatments available for PG.
      pubtype: Periodical
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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