Richetta A G, Maiani E, Carboni V, Carlomagno V, Cimillo M, Mattozzi C, Calvieri S
Dipartimento di Dermatologia Venereologia e Chirurgia Plastica Ricostruttiva, Università di Roma La Sapienza, Roma, Italia.
Clin Ter. 2007 Jul-Aug;158(4):325-9.
Pyoderma Gangrenosum (PG) is a rare ulcerative cutaneous condition with distinctive characteristics, and the aetiology is not clear yet. PG is commonly associated with inflammatory bowel disease (Ulcerative Colitis and Crohn's disease). The features of PG are not specific histopathologically and for this reason diagnosis is based on clinical feature. There is no single successful treatment for PG. In fact certain type of lesions respond more readily to some therapies than others. Local treatments (advanced wound care, local corticosteroids, local immunomodulator agents) may be sufficient for some clinical features, while others may be required systemic therapy (corticosteroids, immunosuppressive therapy, intravenous immune globulins, TNF-alpha blocking agents). We present four cases of PG associated with inflammatory bowel diseases treated with different therapeutic approaches.
坏疽性脓皮病(PG)是一种罕见的具有独特特征的溃疡性皮肤病,其病因尚不清楚。PG通常与炎症性肠病(溃疡性结肠炎和克罗恩病)相关。PG的组织病理学特征不具有特异性,因此诊断基于临床特征。目前尚无针对PG的单一成功治疗方法。事实上,某些类型的病变对某些治疗的反应比其他病变更明显。局部治疗(高级伤口护理、局部皮质类固醇、局部免疫调节剂)对于某些临床特征可能就足够了,而其他情况可能需要全身治疗(皮质类固醇、免疫抑制治疗、静脉注射免疫球蛋白、肿瘤坏死因子-α阻断剂)。我们展示了4例与炎症性肠病相关的PG病例,采用了不同的治疗方法。