Zjawisko patergii w przebiegu pyoderma gangrenosum : opis przypadku

2009
journal article
article
dc.abstract.enPyoderma gangrenosum (PG) is a rare, chronic and relapsing skin disease. In 50-70% of cases it is associated with systemic diseases, most commonly ulcerative colitis or Crohn’s disease. Although lesions are usually limited to the skin, systemic involvement has rarely been reported. Because of the non-specific histological findings, the diagnosis of PG is mainly based on clinical presentation. In 20-30% of patients the emergence of new lesions can be induced by small injuries. In treatment of small lesions local steroids and tacrolimus are used. In patients with a severe disease course systemic treatment is required. Corticosteroids are widely used as initial therapy. In case of lack of response, ciclosporin is recommended. The use of azathioprine, mycophenolate mofetil and biological treatment has also been reported. We present a case of a 48-year-old man with an ulcerative lesion on the left shank. The skin lesion was accompanied by abdominal pain, fever and shivers. According to the CT scan the diagnosis of retroperitoneal abscess was made and a surgical procedure was performed. At the site of the surgical incision, a non-healing skin ulcer appeared. Despite intensive treatment the patient's condition worsened, leading to multiorgan insufficiency and death.pl
dc.affiliationWydział Lekarski : Klinika Chirurgii Ogólnej, Onkologicznej i Geriatrycznejpl
dc.affiliationWydział Nauk o Zdrowiu : Instytut Fizjoterapiipl
dc.affiliationWydział Lekarski : Klinika Dermatologiipl
dc.contributor.authorWojas-Pelc, Anna - 133808 pl
dc.contributor.authorSułowicz, Joanna - 173973 pl
dc.contributor.authorSolecki, Rafał - 133451 pl
dc.contributor.authorNowak, Wojciech - 133002 pl
dc.date.accession2020-06-08pl
dc.date.accessioned2020-06-08T08:28:52Z
dc.date.available2020-06-08T08:28:52Z
dc.date.issued2009pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 553-554pl
dc.description.number6pl
dc.description.physical550-554pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume26pl
dc.identifier.eissn2299-0046pl
dc.identifier.issn1642-395Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/157178
dc.identifier.weblinkhttps://www.termedia.pl/Case-report-Pathergy-phenomenon-in-a-patient-with-pyoderma-gangrenosum-8211-case-report,7,13987,0,1.htmlpl
dc.languagepolpl
dc.language.containerpolpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-SA
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enpyoderma gangrenosumpl
dc.subject.enpathergypl
dc.subject.enskin changespl
dc.subject.entreatmentpl
dc.subject.plpiodermia zgorzelinowapl
dc.subject.plpatergiapl
dc.subject.plzmiany skórnepl
dc.subject.plleczeniepl
dc.subtypeArticlepl
dc.titleZjawisko patergii w przebiegu pyoderma gangrenosum : opis przypadkupl
dc.title.alternativePathergy phenomenon in a patient with pyoderma gangrenosum : case reportpl
dc.title.journalPostępy Dermatologii i Alergologiipl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Pyoderma gangrenosum (PG) is a rare, chronic and relapsing skin disease. In 50-70% of cases it is associated with systemic diseases, most commonly ulcerative colitis or Crohn’s disease. Although lesions are usually limited to the skin, systemic involvement has rarely been reported. Because of the non-specific histological findings, the diagnosis of PG is mainly based on clinical presentation. In 20-30% of patients the emergence of new lesions can be induced by small injuries. In treatment of small lesions local steroids and tacrolimus are used. In patients with a severe disease course systemic treatment is required. Corticosteroids are widely used as initial therapy. In case of lack of response, ciclosporin is recommended. The use of azathioprine, mycophenolate mofetil and biological treatment has also been reported. We present a case of a 48-year-old man with an ulcerative lesion on the left shank. The skin lesion was accompanied by abdominal pain, fever and shivers. According to the CT scan the diagnosis of retroperitoneal abscess was made and a surgical procedure was performed. At the site of the surgical incision, a non-healing skin ulcer appeared. Despite intensive treatment the patient's condition worsened, leading to multiorgan insufficiency and death.
dc.affiliationpl
Wydział Lekarski : Klinika Chirurgii Ogólnej, Onkologicznej i Geriatrycznej
dc.affiliationpl
Wydział Nauk o Zdrowiu : Instytut Fizjoterapii
dc.affiliationpl
Wydział Lekarski : Klinika Dermatologii
dc.contributor.authorpl
Wojas-Pelc, Anna - 133808
dc.contributor.authorpl
Sułowicz, Joanna - 173973
dc.contributor.authorpl
Solecki, Rafał - 133451
dc.contributor.authorpl
Nowak, Wojciech - 133002
dc.date.accessionpl
2020-06-08
dc.date.accessioned
2020-06-08T08:28:52Z
dc.date.available
2020-06-08T08:28:52Z
dc.date.issuedpl
2009
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 553-554
dc.description.numberpl
6
dc.description.physicalpl
550-554
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
26
dc.identifier.eissnpl
2299-0046
dc.identifier.issnpl
1642-395X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/157178
dc.identifier.weblinkpl
https://www.termedia.pl/Case-report-Pathergy-phenomenon-in-a-patient-with-pyoderma-gangrenosum-8211-case-report,7,13987,0,1.html
dc.languagepl
pol
dc.language.containerpl
pol
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Na tych samych warunkach 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-SA
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-sa/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
pyoderma gangrenosum
dc.subject.enpl
pathergy
dc.subject.enpl
skin changes
dc.subject.enpl
treatment
dc.subject.plpl
piodermia zgorzelinowa
dc.subject.plpl
patergia
dc.subject.plpl
zmiany skórne
dc.subject.plpl
leczenie
dc.subtypepl
Article
dc.titlepl
Zjawisko patergii w przebiegu pyoderma gangrenosum : opis przypadku
dc.title.alternativepl
Pathergy phenomenon in a patient with pyoderma gangrenosum : case report
dc.title.journalpl
Postępy Dermatologii i Alergologii
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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