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Cir. plást. ibero-latinoam ; 46(1): 79-84, ene.-mar. 2020. ilus, tab
Article in Spanish | IBECS | ID: ibc-190866

ABSTRACT

El pioderma gangrenoso es una rara dermatosis idiopática, crónica, caracterizada por pústulas y úlceras coalescentes que aparece por lo general sobre la piel previamente traumatizada, con preferencia en extremidades inferiores y tronco. Se asocia a enfermedades sistémicas y los tratamientos quirúrgicos tienden a empeorar el cuadro clínico por el fenómeno de patergia. No hay un tratamiento de elección, pero se acepta el tratamiento inmunosupresor. Presentamos 2 casos de pioderma gangrenoso asociado a quemaduras, una entidad escasamente recogida en la literatura, con abordaje y evolución diferente


Pyoderma gangrenosum is a rare, chronic, and idiopathic dermatosis, characterized by pustules and coalescent ulcers. It usually develops on previously traumatized skin, especially on the lower extremities and trunk. It is associated with systemic diseases, and surgical treatments tend to worsen clinical signs and symptoms as a result of pathergy. There is no treatment of choice, but immunosuppressive therapy is accepted. Two cases of pyoderma gangrenosum associated with burns, an entity rarely collected in the literature, are presented, with different approaches and courses


Subject(s)
Humans , Male , Adult , Middle Aged , Pyoderma Gangrenosum/etiology , Pyoderma Gangrenosum/drug therapy , Burns/complications , Adalimumab/therapeutic use , Mycophenolic Acid/therapeutic use , Prednisolone/therapeutic use , Cyclophosphamide/therapeutic use , Chronic Disease
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