Predilection sites of pyoderma gangrenosum: Retrospective study of 170 clearly diagnosed patients.

Pyoderma gangrenosum (PG) is a non‐infectious, neutrophilic dermatosis that was difficult to diagnose in clinical practice. Today, the PARACELSUS score is a validated tool for diagnostics. Based on this score, patients with clearly diagnosed PG were examined with regard to predilection sites. In thi...

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Publicado en:International Wound Journal Vol. 20; no. 10; pp. 4227 - 4235
Autores principales: Moelleken, Maurice, Erfurt‐Berge, Cornelia, Ronicke, Moritz, Busch, Dorothee, Hübner, Ursula Hertha, Hüsers, Jens, Przysucha, Mareike, Dissemond, Joachim
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
      vid: 20
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Predilection sites of pyoderma gangrenosum: Retrospective study of 170 clearly diagnosed patients.
      aug:
        au:
          Moelleken, Maurice
          Erfurt‐Berge, Cornelia
          Ronicke, Moritz
          Busch, Dorothee
          Hübner, Ursula Hertha
          Hüsers, Jens
          Przysucha, Mareike
          Dissemond, Joachim
        affil: Department of Dermatology, Venerology and Allergology, University Hospital of Essen, Essen, Germany
      sug:
        subj:
          Pyoderma Gangrenosum Diagnosis
          Pyoderma Gangrenosum Physiopathology
          Comorbidity
          Human
          Female
          Male
          Retrospective Design
          Academic Medical Centers
          Middle Age
          Data Quality
          Wounds, Chronic
          Lower Extremity Physiopathology
          Abdomen Physiopathology
          Buttocks Physiopathology
          Foot Physiopathology
          Arm Physiopathology
          Leg Ulcer
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Middle Aged: 45-64 years
          Female
          Male
      ab: Pyoderma gangrenosum (PG) is a non‐infectious, neutrophilic dermatosis that was difficult to diagnose in clinical practice. Today, the PARACELSUS score is a validated tool for diagnostics. Based on this score, patients with clearly diagnosed PG were examined with regard to predilection sites. In this retrospective study, the data of patients from the University Hospitals of Essen and Erlangen were analysed in whom the diagnosis of PG could be clearly confirmed using the PARACELSUS score. A total of 170 patients, 49 men (29%) and 121 women (71%) with an average age at first manifestation of 55.5 years, could be included in the analysis. The predilection sites were identified as the lower legs in 80.6% of the patients and the extensor sides in 75.2%. Other localisations of PG were the thighs in 14.1%, mammae and abdomen in 10.0% each, back and gluteal in 7.1% each, feet in 5.9%, arms in 4.7%, genital in 3.5% and head in 2.9%. This retrospective study is the first to identify a collective of PG patients with the highest data quality using the PARACELSUS score. It could be shown that PG can basically occur on the entire integument. However, the predilection sites of PG, which have now been reliably identified for the first time, are the lower legs and in particular the extensor sides.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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