Pyoderma gangrenosum in hematologic malignancies: A systematic review.

Background: Pyoderma gangrenosum (PG) is a devastating neutrophilic dermatosis that may be associated with trauma or systemic diseases. The associations, characteristics, and temporal relationship of PG with hematologic malignancies are not well understood.Objective: We performed a systematic review...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of the American Academy of Dermatology Vol. 82; no. 6; pp. 1346 - 1360
Autores principales: Montagnon, Carmen M., Fracica, Elizabeth A., Patel, Archna A., Camilleri, Michael J., Murad, M. Hassan, Dingli, David, Wetter, David A., Tolkachjov, Stanislav N.
Formato: research systematic review tables/charts Journal Article
Publicado: Elsevier B.V. Jun2020
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=143158608&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 143158608
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        01909622
        1ZF
      jtl: Journal of the American Academy of Dermatology
      issn: 01909622
      maglogo: N
    pubinfo:
      dt: Jun2020
      vid: 82
      iid: 6
      pid: 467
      pub: Elsevier B.V.
      place: New York, New York
    artinfo:
      ui:
        143158608
        143158608
        NLM31560977
        143158608
        10.1016/j.jaad.2019.09.032
        NLM31560977
        143158608
      ppf: 1346
      ppct: 14
      formats:
      tig:
        atl: Pyoderma gangrenosum in hematologic malignancies: A systematic review.
      aug:
        au:
          Montagnon, Carmen M.
          Fracica, Elizabeth A.
          Patel, Archna A.
          Camilleri, Michael J.
          Murad, M. Hassan
          Dingli, David
          Wetter, David A.
          Tolkachjov, Stanislav N.
        affil: Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota
      sug:
        subj:
          Pyoderma Gangrenosum Complications
          Monoclonal Gammopathy of Undetermined Significance Complications
          Myelodysplastic Syndromes Complications
          Hematologic Neoplasms Complications
          Hematologic Neoplasms Pathology
          Leukemia, Myeloid, Acute Complications
          Myelodysplastic Syndromes Pathology
          Pyoderma Gangrenosum Drug Therapy
          Human
          Systematic Review
      ab: Background: Pyoderma gangrenosum (PG) is a devastating neutrophilic dermatosis that may be associated with trauma or systemic diseases. The associations, characteristics, and temporal relationship of PG with hematologic malignancies are not well understood.Objective: We performed a systematic review of PG associated with hematologic malignancies using data from case reports, case series, and retrospective studies.Methods: We searched MEDLINE, EMBASE, Scopus, and Web of Science from each database's inception to December 12, 2018. Two reviewers independently selected studies and extracted data.Results: Two hundred seventy-nine publications met the inclusion criteria (340 cases). Myelodysplastic syndrome (MDS) was the most commonly reported hematologic malignancy associated with PG, followed by monoclonal gammopathy of undetermined significance and acute myeloid leukemia. The mean age of patients was 56.5 years, with males being more common. There was a predominance of the ulcerative PG subtype and multifocal distributions across all hematologic malignancies. The majority of MDS cases preceded PG, which was reversed for MGUS.Limitations: The data were limited by reporting bias because PG subtypes rely on the rendered diagnosis reported. In addition, the classification for hematologic malignancies has evolved since 1978.Conclusion: Patients with PG should be evaluated for hematologic malignancies, with MDS being the most common.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N