A clinical case report of Pyoderma gangrenosum

Detalhes bibliográficos
Autor(a) principal: Alfaiate, Teresa
Data de Publicação: 2006
Outros Autores: Portelinha, Deolinda, Silva, Amílcar, Sá, Arnaldo
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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spelling 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
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
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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
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