Year 2022 / Volume 114 / Number 12
Letter
Pyoderma gangrenosum in ulcerative colitis - An exuberant and painful complication

770-771

DOI: 10.17235/reed.2022.9120/2022

Margarida Gonçalves, Ana Rebelo, Raquel Gonçalves, Bruno Gonçalves,

Abstract
A 41-years-old female, with ulcerative colitis, presented to the emergency department with 7-days history of abdominal pain, bloody stools (> 10/day). The patient referred the appearance of a cutaneous lesion, on her left thigh, with subsequent appearance of similar lesions on the lower limbs. No improvement after amoxicillin/clavulanic acid. On admission, she was febrile (38.2 ºC) and tachycardic. She had three cutaneous lesions, the largest one with 8cm in the left thigh - a deep and painful lesion, with extensive ulceration, necrosis, exudative edges and with marked pathergia, compatible with pyoderma gangrenosum.
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References
1- Barbe M, Batra A, Golding S et al. “Pioderma Gangrenosum: A literature review”. Clin Podiatr Med Surg .2021 Oct. 38:577-588. Doi: 10.1016/j.cpm.2021.06.002.
2- Guraudo F, Miraglia E, Garbi M, et al. “Prevalencia del pioderma gangrenoso y el síndrome de Sweet en la enfermedad inflamatoria intestinal en un centro terciario”. Rev Esp Enferm Dig. 2021 Oct. 113(10):691-697. Doi: 10.17235/reed.2020.7431/2020.
3- Olvarría P, Iturria S, Castilejo O. “Tofacitinib: una opción útil para el tratamiento del pioderma gangrenoso en un paciente com colitis ulcerosa”. Rev Esp Enferm Dig. 2021 Oct. 113(10):733-734. doi: 10.17235/reed.2021.7977/2021.
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Gonçalves M, Rebelo A, Gonçalves R, Gonçalves B. Pyoderma gangrenosum in ulcerative colitis - An exuberant and painful complication. 9120/2022


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Publication history

Received: 04/08/2022

Accepted: 26/08/2022

Online First: 31/08/2022

Published: 12/12/2022

Article Online First time: 27 days

Article editing time: 130 days


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