EP485 PYODERMA GANGRENOSUM ON THE DORSUM OF THE FOOT AND ON THE THUMB...European Wound Management Association (EWMA) Conference, May 3-5, 2023, Milan, Italy
Aim: To present a case of pyoderma gangrenosum with lesions on thumb and dorsum of the foot. Method: Case report. Results / Discussion: We present a 72 -year-old woman with a past medical history of Crohn disease. The patient initially presented to rheumathologist due to joint pain in her right thum...
| Publicado en: | Journal of Wound Management Vol. 24; no. 2; p. 310 |
|---|---|
| Autor principal: | |
| Formato: | abstract case study pictorial proceedings Journal Article |
| Publicado: |
Cambridge Publishing
Jul2023
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | Aim: To present a case of pyoderma gangrenosum with lesions on thumb and dorsum of the foot. Method: Case report. Results / Discussion: We present a 72 -year-old woman with a past medical history of Crohn disease. The patient initially presented to rheumathologist due to joint pain in her right thumb and dorsum of left foot. The diagnosis of enteropathic artritis was made and metilprednisolone 16 mg was prescribed. She was evaluated 10 days later in Emergency clinic due to swelling and pain of the foot. Incizion was performed, microbiology swab was taken. She returned to Emergency clinic 6 days later due to wound that developed on the dorsum of the foot after the incizion and worsening of the situation on the thumb. Rheumatologist and dermatologist evaluated her and suspicion of pyoderma gangrenosum was made. The patient had violaceous-to-red bordered ulceration on the dorsum of left foot (fig.1) and pustulovesivular nodes on right thumb (fig.2) . Biopsy of the lesion on the foot was performed. Hematoxylin-eosin staining revealed a predominantly neutrophilic infiltrate. Swab culture was negative for microorganisms. The diagnosis pyoderma gangrenosum was cofirmed and treatment with metilprednisolone (32 mg p.o.) was continued. Further controls were by dermatologist as metilprednisolone dose was tappered and the ulceration healed in 5 months. She finished the treatment with metilprednisolone and is still stable. Conclusion: Pyoderma gangrenosum (PG) is a rare dermatosis that can have many different manifestations. We would like to stress the importance of the interdisciplinary approach to patients with possible pyoderma gangrenosum. |
|---|