Pyoderma gangrenosum: a review of the clinical, mechanistic and therapeutic landscape.

Pyoderma gangrenosum (PG) is a neutrophilic dermatosis that is uncommon and can sometimes be associated with systemic diseases. The pathophysiology underlying this condition is poorly understood, although recent advances suggest that local cutaneous abnormalities and functionally abnormal neutrophil...

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Publicado en:Wound Practice & Research Vol. 30; no. 1; pp. 16 - 24
Autores principales: Flora, Akshay, Frew, John W.
Formato: pictorial review tables/charts Journal Article
Publicado: Cambridge Publishing Mar2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2022
      vid: 30
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      pub: Cambridge Publishing
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        10.33235/wpr.30.1.16-23
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        atl: Pyoderma gangrenosum: a review of the clinical, mechanistic and therapeutic landscape.
      aug:
        au:
          Flora, Akshay
          Frew, John W.
        affil: Department of Dermatology, Liverpool Hospital, Sydney, NSW, Australia
      sug:
        subj:
          Pyoderma Gangrenosum
          Pyoderma Gangrenosum Diagnosis
          Pyoderma Gangrenosum Physiopathology
          Pyoderma Gangrenosum Therapy
          Pyoderma Gangrenosum Immunology
          Pyoderma Gangrenosum Symptoms
          Diagnosis, Differential
          Neutrophils Immunology
          Immunity
          Tacrolimus Administration and Dosage
          Ointments Administration and Dosage
          Administration, Topical
          Prednisolone Administration and Dosage
          Administration, Oral
          Cyclosporine Administration and Dosage
          Biological Therapy
          Wound Care Methods
          Diagnosis
          Inflammation Mediators
          Interleukins Antagonists and Inhibitors
          Inflammation Mediators Metabolism
      ab: Pyoderma gangrenosum (PG) is a neutrophilic dermatosis that is uncommon and can sometimes be associated with systemic diseases. The pathophysiology underlying this condition is poorly understood, although recent advances suggest that local cutaneous abnormalities and functionally abnormal neutrophils may trigger ongoing innate and adaptive immune system activity. PG remains a difficult condition to diagnose, mainly because it was previously seen as a diagnosis of exclusion, although newer diagnostic criteria have been proposed in order to overcome this. Furthermore, many patients do not respond to conventional therapy for PG once diagnosed, and experience persistence or worsening of their condition over time. The advent of immune targeted therapies, however, may represent a new treatment option for these patients. This review focuses on the clinical features and diagnosis of PG, as well as providing an update in our understanding of the pathophysiology and treatment options available for this debilitating condition.
      pubtype: Academic Journal
      doctype:
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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