溃疡性结肠炎致全结肠切除术后发生坏疽性脓皮病

S. Yılmaz, K. Gişi, B. Kantarçeken
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引用次数: 0

摘要

122坏疽性yoderma gangrenosum (PG)少见;破坏性的炎症性皮肤病,以疼痛的结节或脓疱为特征,并发展为大而延伸的溃疡50%的PG患者有潜在疾病。这些疾病包括炎症性肠病、关节炎、白血病、肝炎、原发性胆汁性肝硬化、肠道恶性肿瘤和单克隆伽玛病。在溃疡性结肠炎(UC)患者中,PG的存在与疾病的活动无关。然而,很少,UC的激活可能导致PG的发展。在这篇文章中,我们报告了一个UC合并关节炎的病例,在他的右背部和回肠造口周围出现了与PG一致的病变,这些病变在全结肠切除术后大约7个月发生。
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Pyoderma Gangrenosum Developing After Total Colectomy Due to Ulcerative Colitis
122 yoderma gangrenosum (PG) is rarely seen; destructive, inflammatory skin disease characterized by painful nodules or pustules that progress to large and extended ulcerations.1 In 50% of the patients with PG, there is an underlying disease. These include inflammatory bowel disease, arthritis, leukemia, hepatitis, primary biliary cirrhosis, intestinal malignancies and monoclonal gammopathy. In the patients with ulcerative colitis (UC), the presence of PG is independent from the activity of the disease. However, rarely, activation of UC may lead to PG development. In this article, we present an UC case with arthritis and the lesions consistent with PG around ileostomy and on his right back, which have been developed approximately 7 months after total colectomy.
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