Cicatricial ectropion correction in a patient with pyoderma gangrenosum: case report
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos brasileiros de oftalmologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492009000300020 |
Resumo: | A 19 year old female with pyoderma gangrenosum was referred to the oculoplastic clinic for evaluation of severe cicatricial ectropion of the right lower eyelid. Examination evidenced important scarring of lower eyelid and malar region with secondary ectropion. A full-thickness skin graft associated with a lateral tarsal strip procedure and scar tissue release was performed. The patient's corticosteroid dose was raised for the procedure, and after surgery there was no healing problem or ulcer formation in the eyelid or in the graft donor site. As pyoderma gangrenosum is associated with a pathergy phenomenon in up to 25% of the cases, the onset of new lesions is a relevant concern when performing surgery in these patients. In this case, the surgery was safely performed under corticosteroid immunosuppression. |
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Arquivos brasileiros de oftalmologia (Online) |
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Cicatricial ectropion correction in a patient with pyoderma gangrenosum: case reportPyoderma gangrenosumEctropionEyelid diseasesSkin transplantationImmunosuppression/therapeutic useA 19 year old female with pyoderma gangrenosum was referred to the oculoplastic clinic for evaluation of severe cicatricial ectropion of the right lower eyelid. Examination evidenced important scarring of lower eyelid and malar region with secondary ectropion. A full-thickness skin graft associated with a lateral tarsal strip procedure and scar tissue release was performed. The patient's corticosteroid dose was raised for the procedure, and after surgery there was no healing problem or ulcer formation in the eyelid or in the graft donor site. As pyoderma gangrenosum is associated with a pathergy phenomenon in up to 25% of the cases, the onset of new lesions is a relevant concern when performing surgery in these patients. In this case, the surgery was safely performed under corticosteroid immunosuppression.Conselho Brasileiro de Oftalmologia2009-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492009000300020Arquivos Brasileiros de Oftalmologia v.72 n.3 2009reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.1590/S0004-27492009000300020info:eu-repo/semantics/openAccessProcianoy,FernandoBarbato,Mariana TremelOsowski,Luiz EduardoBocaccio,Francisco José de LimaBakos,Lucioeng2009-08-04T00:00:00Zoai:scielo:S0004-27492009000300020Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2009-08-04T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false |
dc.title.none.fl_str_mv |
Cicatricial ectropion correction in a patient with pyoderma gangrenosum: case report |
title |
Cicatricial ectropion correction in a patient with pyoderma gangrenosum: case report |
spellingShingle |
Cicatricial ectropion correction in a patient with pyoderma gangrenosum: case report Procianoy,Fernando Pyoderma gangrenosum Ectropion Eyelid diseases Skin transplantation Immunosuppression/therapeutic use |
title_short |
Cicatricial ectropion correction in a patient with pyoderma gangrenosum: case report |
title_full |
Cicatricial ectropion correction in a patient with pyoderma gangrenosum: case report |
title_fullStr |
Cicatricial ectropion correction in a patient with pyoderma gangrenosum: case report |
title_full_unstemmed |
Cicatricial ectropion correction in a patient with pyoderma gangrenosum: case report |
title_sort |
Cicatricial ectropion correction in a patient with pyoderma gangrenosum: case report |
author |
Procianoy,Fernando |
author_facet |
Procianoy,Fernando Barbato,Mariana Tremel Osowski,Luiz Eduardo Bocaccio,Francisco José de Lima Bakos,Lucio |
author_role |
author |
author2 |
Barbato,Mariana Tremel Osowski,Luiz Eduardo Bocaccio,Francisco José de Lima Bakos,Lucio |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Procianoy,Fernando Barbato,Mariana Tremel Osowski,Luiz Eduardo Bocaccio,Francisco José de Lima Bakos,Lucio |
dc.subject.por.fl_str_mv |
Pyoderma gangrenosum Ectropion Eyelid diseases Skin transplantation Immunosuppression/therapeutic use |
topic |
Pyoderma gangrenosum Ectropion Eyelid diseases Skin transplantation Immunosuppression/therapeutic use |
description |
A 19 year old female with pyoderma gangrenosum was referred to the oculoplastic clinic for evaluation of severe cicatricial ectropion of the right lower eyelid. Examination evidenced important scarring of lower eyelid and malar region with secondary ectropion. A full-thickness skin graft associated with a lateral tarsal strip procedure and scar tissue release was performed. The patient's corticosteroid dose was raised for the procedure, and after surgery there was no healing problem or ulcer formation in the eyelid or in the graft donor site. As pyoderma gangrenosum is associated with a pathergy phenomenon in up to 25% of the cases, the onset of new lesions is a relevant concern when performing surgery in these patients. In this case, the surgery was safely performed under corticosteroid immunosuppression. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492009000300020 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492009000300020 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-27492009000300020 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Oftalmologia v.72 n.3 2009 reponame:Arquivos brasileiros de oftalmologia (Online) instname:Conselho Brasileiro de Oftalmologia (CBO) instacron:CBO |
instname_str |
Conselho Brasileiro de Oftalmologia (CBO) |
instacron_str |
CBO |
institution |
CBO |
reponame_str |
Arquivos brasileiros de oftalmologia (Online) |
collection |
Arquivos brasileiros de oftalmologia (Online) |
repository.name.fl_str_mv |
Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO) |
repository.mail.fl_str_mv |
aboonline@cbo.com.br||abo@cbo.com.br |
_version_ |
1754209025925316608 |