A clinical case report of Pyoderma gangrenosum
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spmi.pt/index.php/rpmi/article/view/1648 |
Resumo: | Pyoderma gangrenosum is a chronic infl ammatory dermatosis, of unknown aetiology,1,2 which presents as painful and rapidly progressive necrotizing and ulcerative skin lesions. It may be associated with other pathologies, such as infl ammatory bowel disease, rheumatoid arthritis, Behçet disease, Wegener’s granulomatosis, active chronic hepatitis, or other blood diseases (multiple myeloma, other monoclonal gammopathies, leukaemia).1,2 However, approximately 50% of the cases arise in isolation.1The authors describe a clinical case who presented with ulcerated lesions in the lower limbs. Despite the absence of respiratory, cardiac, pulmonary or genito-urinary complaints, the initial analytical assessment detected leukocytosis, thrombocytosis, normocytic normochromic anaemia and discrete renal failure. The patient was admitted to clarify the clinical picture and, if possible, to exclude underlying systemic disease.The diagnosis was found to be pyoderma gangrenosum associated with systemic vasculitis, probably Wegener’s granulomatosis.Early haemodialysis was necessary due to rapid and progressive renal dysfunction. Nevertheless, therapy with corticosteroids and immunosuppressants markedly improved skin lesions and renal function was restored. |
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A clinical case report of Pyoderma gangrenosumUm caso clínico de pioderma gangrenosopioderma gangrenosogranulomatose de Wegenervasculitepyoderma gangrenosumWegener’s granulomatosisvasculitisPyoderma gangrenosum is a chronic infl ammatory dermatosis, of unknown aetiology,1,2 which presents as painful and rapidly progressive necrotizing and ulcerative skin lesions. It may be associated with other pathologies, such as infl ammatory bowel disease, rheumatoid arthritis, Behçet disease, Wegener’s granulomatosis, active chronic hepatitis, or other blood diseases (multiple myeloma, other monoclonal gammopathies, leukaemia).1,2 However, approximately 50% of the cases arise in isolation.1The authors describe a clinical case who presented with ulcerated lesions in the lower limbs. Despite the absence of respiratory, cardiac, pulmonary or genito-urinary complaints, the initial analytical assessment detected leukocytosis, thrombocytosis, normocytic normochromic anaemia and discrete renal failure. The patient was admitted to clarify the clinical picture and, if possible, to exclude underlying systemic disease.The diagnosis was found to be pyoderma gangrenosum associated with systemic vasculitis, probably Wegener’s granulomatosis.Early haemodialysis was necessary due to rapid and progressive renal dysfunction. Nevertheless, therapy with corticosteroids and immunosuppressants markedly improved skin lesions and renal function was restored.O pioderma gangrenoso é uma dermatose infl amatória crónica, de etiologia desconhecida, caracterizada pela existência de lesões ulcero-necróticas dolorosas, profundas e rapidamente progressivas. Pode estar associado a outras entidades patológicas, como a doença inflamatória intestinal, a artrite reumatóide, a doença de Behçet, a granulomatose de Wegener, a hepatite crónica activa, ou a certas doenças hematológicas (como o mieloma múltiplo, outras gamapatias monoclonais ou leucemia).1,2 No entanto, cerca de 50% dos casos aparecem de forma isolada.1Os autores descrevem o caso clínico de um doente com lesões ulceradas nos membros inferiores. Apesar de não ter referido queixas respiratórias, cardíacas, pulmonares ou genito-urinárias, a avaliação analítica inicial detectou leucocitose, trombocitose, anemia normocrómica normocítica e discreta retenção azotada. O doente foi internado com o objectivo de esclarecer o quadro clínico e, se possível, despistar uma doença sistémica subjacente.Concluiu-se pelo diagnóstico de pioderma gangrenoso associado a uma vasculite sistémica, provavelmente granulomatose de Wegener.Houve necessidade de implementar tratamento hemodialítico precoce, pelo agravamento rápido e progressivo da função renal. Contudo, a instituição da terapêutica com corticóides e imunossupressores determinou uma melhoria flagrante das lesões dermatológicas e a recuperação da função renal.Sociedade Portuguesa de Medicina Interna2006-09-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/1648Internal Medicine; Vol. 13 No. 3 (2006): Julho/ Setembro; 203-206Medicina Interna; Vol. 13 N.º 3 (2006): Julho/ Setembro; 203-2062183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/1648https://revista.spmi.pt/index.php/rpmi/article/view/1648/1113Alfaiate, TeresaPortelinha, DeolindaSilva, AmílcarSá, Arnaldoinfo:eu-repo/semantics/openAccess2023-02-25T06:11:12Zoai:oai.revista.spmi.pt:article/1648Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:47:17.623323Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
A clinical case report of Pyoderma gangrenosum Um caso clínico de pioderma gangrenoso |
title |
A clinical case report of Pyoderma gangrenosum |
spellingShingle |
A clinical case report of Pyoderma gangrenosum Alfaiate, Teresa pioderma gangrenoso granulomatose de Wegener vasculite pyoderma gangrenosum Wegener’s granulomatosis vasculitis |
title_short |
A clinical case report of Pyoderma gangrenosum |
title_full |
A clinical case report of Pyoderma gangrenosum |
title_fullStr |
A clinical case report of Pyoderma gangrenosum |
title_full_unstemmed |
A clinical case report of Pyoderma gangrenosum |
title_sort |
A clinical case report of Pyoderma gangrenosum |
author |
Alfaiate, Teresa |
author_facet |
Alfaiate, Teresa Portelinha, Deolinda Silva, Amílcar Sá, Arnaldo |
author_role |
author |
author2 |
Portelinha, Deolinda Silva, Amílcar Sá, Arnaldo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Alfaiate, Teresa Portelinha, Deolinda Silva, Amílcar Sá, Arnaldo |
dc.subject.por.fl_str_mv |
pioderma gangrenoso granulomatose de Wegener vasculite pyoderma gangrenosum Wegener’s granulomatosis vasculitis |
topic |
pioderma gangrenoso granulomatose de Wegener vasculite pyoderma gangrenosum Wegener’s granulomatosis vasculitis |
description |
Pyoderma gangrenosum is a chronic infl ammatory dermatosis, of unknown aetiology,1,2 which presents as painful and rapidly progressive necrotizing and ulcerative skin lesions. It may be associated with other pathologies, such as infl ammatory bowel disease, rheumatoid arthritis, Behçet disease, Wegener’s granulomatosis, active chronic hepatitis, or other blood diseases (multiple myeloma, other monoclonal gammopathies, leukaemia).1,2 However, approximately 50% of the cases arise in isolation.1The authors describe a clinical case who presented with ulcerated lesions in the lower limbs. Despite the absence of respiratory, cardiac, pulmonary or genito-urinary complaints, the initial analytical assessment detected leukocytosis, thrombocytosis, normocytic normochromic anaemia and discrete renal failure. The patient was admitted to clarify the clinical picture and, if possible, to exclude underlying systemic disease.The diagnosis was found to be pyoderma gangrenosum associated with systemic vasculitis, probably Wegener’s granulomatosis.Early haemodialysis was necessary due to rapid and progressive renal dysfunction. Nevertheless, therapy with corticosteroids and immunosuppressants markedly improved skin lesions and renal function was restored. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-09-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/1648 |
url |
https://revista.spmi.pt/index.php/rpmi/article/view/1648 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/1648 https://revista.spmi.pt/index.php/rpmi/article/view/1648/1113 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Internal Medicine; Vol. 13 No. 3 (2006): Julho/ Setembro; 203-206 Medicina Interna; Vol. 13 N.º 3 (2006): Julho/ Setembro; 203-206 2183-9980 0872-671X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799130944315064320 |