Synchronous pyoderma gangrenosum and inflammatory bowel disease, healing after total proctocolectomy

Detalhes bibliográficos
Autor(a) principal: Andrade,Pedro
Data de Publicação: 2012
Outros Autores: Brites,Maria Manuel, Figueiredo,Américo
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Anais brasileiros de dermatologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962012000400022
Resumo: We present a female patient observed with painful violaceous plaques with central bullae and pustules on the lower limbs, rapidly transformed into ulcers, associated with bloody diarrhea, recurrent oral erosions and hyperthermia in the previous 3 months. Cutaneous biopsy was consistent with pyoderma gangrenosum, and intestinal diagnostic procedures revealed a non-classifiable inflammatory bowel disease with high x-ANCA titers. Soon after admission the patient was submitted to total proctocolectomy following colonic perforation. Complete ulcer healing occurred three months after surgery, without recurrence. Pyoderma gangrenosum is a rare dermatosis frequently associated with inflammatory bowel disease. This case is particularly interesting for the synchronic clinical presentation of cutaneous and intestinal diseases, but also for the prompt regression of the former after total proctocolectomy.
id SBD-1_8c0aae3bfed1e3f005e4d120387fd079
oai_identifier_str oai:scielo:S0365-05962012000400022
network_acronym_str SBD-1
network_name_str Anais brasileiros de dermatologia (Online)
repository_id_str
spelling Synchronous pyoderma gangrenosum and inflammatory bowel disease, healing after total proctocolectomyColectomyInflammatory bowel diseasesPyoderma gangrenosumWe present a female patient observed with painful violaceous plaques with central bullae and pustules on the lower limbs, rapidly transformed into ulcers, associated with bloody diarrhea, recurrent oral erosions and hyperthermia in the previous 3 months. Cutaneous biopsy was consistent with pyoderma gangrenosum, and intestinal diagnostic procedures revealed a non-classifiable inflammatory bowel disease with high x-ANCA titers. Soon after admission the patient was submitted to total proctocolectomy following colonic perforation. Complete ulcer healing occurred three months after surgery, without recurrence. Pyoderma gangrenosum is a rare dermatosis frequently associated with inflammatory bowel disease. This case is particularly interesting for the synchronic clinical presentation of cutaneous and intestinal diseases, but also for the prompt regression of the former after total proctocolectomy.Sociedade Brasileira de Dermatologia2012-08-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962012000400022Anais Brasileiros de Dermatologia v.87 n.4 2012reponame:Anais brasileiros de dermatologia (Online)instname:Sociedade Brasileira de Dermatologia (SBD)instacron:SBD10.1590/S0365-05962012000400022info:eu-repo/semantics/openAccessAndrade,PedroBrites,Maria ManuelFigueiredo,Américoeng2012-08-10T00:00:00Zoai:scielo:S0365-05962012000400022Revistahttp://www.anaisdedermatologia.org.br/https://old.scielo.br/oai/scielo-oai.phpabd@sbd.org.br||revista@sbd.org.br1806-48410365-0596opendoar:2012-08-10T00:00Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD)false
dc.title.none.fl_str_mv Synchronous pyoderma gangrenosum and inflammatory bowel disease, healing after total proctocolectomy
title Synchronous pyoderma gangrenosum and inflammatory bowel disease, healing after total proctocolectomy
spellingShingle Synchronous pyoderma gangrenosum and inflammatory bowel disease, healing after total proctocolectomy
Andrade,Pedro
Colectomy
Inflammatory bowel diseases
Pyoderma gangrenosum
title_short Synchronous pyoderma gangrenosum and inflammatory bowel disease, healing after total proctocolectomy
title_full Synchronous pyoderma gangrenosum and inflammatory bowel disease, healing after total proctocolectomy
title_fullStr Synchronous pyoderma gangrenosum and inflammatory bowel disease, healing after total proctocolectomy
title_full_unstemmed Synchronous pyoderma gangrenosum and inflammatory bowel disease, healing after total proctocolectomy
title_sort Synchronous pyoderma gangrenosum and inflammatory bowel disease, healing after total proctocolectomy
author Andrade,Pedro
author_facet Andrade,Pedro
Brites,Maria Manuel
Figueiredo,Américo
author_role author
author2 Brites,Maria Manuel
Figueiredo,Américo
author2_role author
author
dc.contributor.author.fl_str_mv Andrade,Pedro
Brites,Maria Manuel
Figueiredo,Américo
dc.subject.por.fl_str_mv Colectomy
Inflammatory bowel diseases
Pyoderma gangrenosum
topic Colectomy
Inflammatory bowel diseases
Pyoderma gangrenosum
description We present a female patient observed with painful violaceous plaques with central bullae and pustules on the lower limbs, rapidly transformed into ulcers, associated with bloody diarrhea, recurrent oral erosions and hyperthermia in the previous 3 months. Cutaneous biopsy was consistent with pyoderma gangrenosum, and intestinal diagnostic procedures revealed a non-classifiable inflammatory bowel disease with high x-ANCA titers. Soon after admission the patient was submitted to total proctocolectomy following colonic perforation. Complete ulcer healing occurred three months after surgery, without recurrence. Pyoderma gangrenosum is a rare dermatosis frequently associated with inflammatory bowel disease. This case is particularly interesting for the synchronic clinical presentation of cutaneous and intestinal diseases, but also for the prompt regression of the former after total proctocolectomy.
publishDate 2012
dc.date.none.fl_str_mv 2012-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962012000400022
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962012000400022
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0365-05962012000400022
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 Sociedade Brasileira de Dermatologia
publisher.none.fl_str_mv Sociedade Brasileira de Dermatologia
dc.source.none.fl_str_mv Anais Brasileiros de Dermatologia v.87 n.4 2012
reponame:Anais brasileiros de dermatologia (Online)
instname:Sociedade Brasileira de Dermatologia (SBD)
instacron:SBD
instname_str Sociedade Brasileira de Dermatologia (SBD)
instacron_str SBD
institution SBD
reponame_str Anais brasileiros de dermatologia (Online)
collection Anais brasileiros de dermatologia (Online)
repository.name.fl_str_mv Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD)
repository.mail.fl_str_mv abd@sbd.org.br||revista@sbd.org.br
_version_ 1752126418266882048