Therapeutic management of pyoderma gangrenosum.

作者: Angela Ehling , Sigrid Karrer , Frank Klebl , Andreas Schäffler , Ulf Müller-Ladner

DOI: 10.1002/ART.20559

关键词: RheumatologyTreatment optionsPyoderma gangrenosumPathologyDifferential diagnosisDermatologyInflammatory skin diseaseMinor traumaNeutrophilic dermatosisInternal medicineMedicine

摘要: Pyoderma gangrenosum (PG) is a primarily noninfectious inflammatory skin disease resulting in large ulcers that can spread rapidly showing undermined violaceous borders and necrotic, purulent base. PG was first described the 19th early 20th centuries (1,2). Similar to Sweet’s syndrome, belongs dermatoses, which are histologically characterized by an accumulation of neutrophils without any discernible microbial pathogens. often develops after minor trauma, consistent with phenomenon Koebnerization, but it also occurs preceding injury (3–5). Owing its numerous links rheumatic diseases, communityand hospital-based rheumatologists consulted regularly regarding differential diagnosis, long-term prognosis, current treatment options. Although few controlled trials have been performed, recent years body data has accumulated from case reports small studies including novel options; this widened therapeutic armamentarium considerably will be discussed detail review.

参考文章(76)
Norimune Funakoshi, Tadashi Kanoh, Haruto Uchino, Takeo Miyake, Eijiro Kohriyama, Takatoshi Oda, The association of pyoderma gangrenosum with ulcerative colitis in Japan Gastroenterologia Japonica. ,vol. 21, pp. 630- 632 ,(1986) , 10.1007/BF02774492
Susan M. Fridey, Thamarapu Srikrishnan, Crystal structure of methyl-3, 4-O-ethylidene-β-L- arabinopyranoside Journal of Chemical Crystallography. ,vol. 33, pp. 695- 700 ,(2003) , 10.1023/A:1025393509765
Susanne Michel, Ulrich Hohenleutner, Volker Mohr, Michael Landthaler, Therapieresistentes Pyoderma gangraenosum Eine Behandlung mit Mycophenolatmofetil und Cyclosporin A Hautarzt. ,vol. 50, pp. 428- 431 ,(1999) , 10.1007/S001050050936
H. Petering, P. Kiel, C. Breuer, A. Kapp, T. Werfel, Pyoderma gangraenosum Erfolgreiche topische Therapie mit Tacrolimus (FK506) Hautarzt. ,vol. 52, pp. 47- 50 ,(2001) , 10.1007/S001050051261
Fukuhara, Urano, Kimura, Hori, Arase, Pyoderma gangrenosum with rheumatoid arthritis and pulmonary aseptic abscess responding to treatment with dapsone British Journal of Dermatology. ,vol. 139, pp. 556- 558 ,(1998) , 10.1046/J.1365-2133.1998.02440.X
S. Cliff, C. A. Holden, P. R.S. Thomas, R. A. Marsden, C. C. Harland, Split skin grafts in the treatment of pyoderma gangrenosum. A report of four cases. Dermatologic Surgery. ,vol. 25, pp. 299- 302 ,(1999) , 10.1046/J.1524-4725.1999.08193.X
C. P. Conlon, P. M. Armstrong, R. Pandey, I. Ilyas, A. H. R. W. Simpson, A. R. Berendt, Pyoderma gangrenosum - A diagnosis not to be missed Journal of Bone and Joint Surgery-british Volume. ,vol. 81, pp. 893- 894 ,(1999) , 10.1302/0301-620X.81B5.9439
Jyoti B Burruss, Evan R Farmer, Jeffrey P Callen, Chlorambucil is an effective corticosteroid-sparing agent for recalcitrant pyoderma gangrenosum Journal of The American Academy of Dermatology. ,vol. 35, pp. 720- 724 ,(1996) , 10.1016/S0190-9622(96)90727-6
Elizabeth C. Kark, Bryan R. Davis, Jerome R. Pomeranz, Pyoderma gangrenosum treated with clofazimine: Report of three cases Journal of The American Academy of Dermatology. ,vol. 4, pp. 152- 159 ,(1981) , 10.1016/S0190-9622(81)70018-5