Pure bullous pyoderma gangrenosum, a challenging clinico-pathological diagnosis: Critical literature review with emphasis on diagnostic criteria.

Pyoderma gangrenosum (PG) is an uncommon, idiopathic, neutrophilic dermatosis characterised by large necrotic ulcers. Occasionally, patients develop atypical presentations, including pustular, bullous, and vegetative lesions. Bullous pyoderma gangrenosum (BPG) is considered an extremely rare form. W...

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Publicado en:Indian Journal of Dermatology Vol. 67; no. 4; pp. 409 - 415
Autores principales: Garcia-Abellas, Patricia, Fernández-Guarino, Montserrat, Díaz-Guimaraens, Borja, Soto-Castillo, Juan, Torres-Jiménez, Javier, Carrillo-Gijón, Rosario
Formato: case study pictorial review tables/charts Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Jul/Aug2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2022
      vid: 67
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      pub: Wolters Kluwer India Pvt Ltd
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        10.4103/ijd.ijd_1133_20
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        atl: Pure bullous pyoderma gangrenosum, a challenging clinico-pathological diagnosis: Critical literature review with emphasis on diagnostic criteria.
      aug:
        au:
          Garcia-Abellas, Patricia
          Fernández-Guarino, Montserrat
          Díaz-Guimaraens, Borja
          Soto-Castillo, Juan
          Torres-Jiménez, Javier
          Carrillo-Gijón, Rosario
        affil: From the Department of Pathology, Hospital Ramón y Cajal, Madrid
      sug:
        subj:
          Pyoderma Gangrenosum Diagnosis
          Pyoderma Gangrenosum Drug Therapy
          Pyoderma Gangrenosum Surgery
          Pemphigoid, Bullous
          Aged
          Male
          Leukemia Diagnosis
          Antibiotics Therapeutic Use
          Aged: 65+ years
          Male
      ab: Pyoderma gangrenosum (PG) is an uncommon, idiopathic, neutrophilic dermatosis characterised by large necrotic ulcers. Occasionally, patients develop atypical presentations, including pustular, bullous, and vegetative lesions. Bullous pyoderma gangrenosum (BPG) is considered an extremely rare form. We describe a case of BPG in a 76-year-old man, with active oncological history, including a recent diagnosis of hairy cell leukemia. Diagnosis of PG was delayed because of atypical clinical presentation that mimicked necrotising fasciitis. The patient was treated with diverse intravenous antibiotics and several surgical procedures. The suspicion of neutrophilic dermatosis arose from the histopathological studies. In the setting of mandatory clinico-pathological correlation, the aim of this report is to point out the morphological characteristics that allow recognition of this uncommon variant of pyoderma gangrenosum.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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