El Fékih N, Kerkeni N, Kharfi M, Baccouche D, Zéglaoui F, Fazaa B, Kamoun Mohamed R
Service de Dermatologie, Hôpital Charles Nicolle, Tunis, Tunisie.
Rev Med Liege. 2010 Sep;65(9):506-9.
Pyoderma gangrenosum (PG) is an uncommon extensive cutaneous ulceration belonging to the neutrophilic disease spectrum. It is associated to a systemic disease in almost 50% of cases. The diagnosis primarily relies on clinico-pathological features and the treatment is empirical. We report a retrospective series of 6 observations of PG (4 women and 2 men, median age = 43 years) enrolled over 15 years. The diagnosis was established based on the presence of 2 major criteria and 2 minor criteria of the disease. In 3 patients, PG was associated to an already known ulcerative colitis. The treatment consisted in general corticotherapy.