García-Morales Irene, Herrera-Saval Alberto, Camacho Francisco
Departamento de Dermatología, Hospital Universitario Virgen Macarena, Avda. Dr. Fedriani s/n, 41008 Seville, Spain.
Actas Dermosifiliogr. 2005 May;96(4):258-60. doi: 10.1016/s0001-7310(05)73082-9.
Pyoderma gangrenosum is a chronic, painful, ulcerative skin disease of unknown etiology. In 50 % of the cases, it is associated with systemic disease, primarily with inflammatory bowel disease. It can develop over areas of trauma or surgical wounds, possibly because of local immunoreactant deposits. We describe the case of a cANCA-positive patient with colonic diverticulitis who developed pyoderma gangrenosum over a saphenectomy scar.
坏疽性脓皮病是一种病因不明的慢性、疼痛性溃疡性皮肤病。50%的病例与全身性疾病相关,主要是炎症性肠病。它可在创伤部位或手术伤口处发生,可能是由于局部免疫反应物沉积所致。我们描述了一例抗中性粒细胞胞浆抗体(cANCA)阳性的结肠憩室炎患者,其在大隐静脉剥脱术瘢痕处发生了坏疽性脓皮病。