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坏疽性脓皮病:乳腺溃疡的罕见病因。

Pyoderma gangrenosum: a rare cause of breast ulceration.

作者信息

Duke Georgina, Al Samaraee Ahmad, Husain Akhtar, Meggitt Simon, Fasih Tarannum

出版信息

Ochsner J. 2012 Summer;12(2):155-8.

PMID:22778682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3387843/
Abstract

Breast ulceration is an alarming sign for clinicians and places a significant physical and psychological burden on the patient. We report a rare presentation of pyoderma gangrenosum of the breast in a patient known to have ulcerative colitis but no active underlying disease process and no history of breast tissue trauma. This case report with literature review highlights the importance of considering pyoderma gangrenosum as a differential diagnosis in breast ulcers.

摘要

乳房溃疡对临床医生来说是一个警示信号,给患者带来了巨大的身心负担。我们报告了一例罕见的乳房坏疽性脓皮病,患者患有溃疡性结肠炎,但无活动性基础疾病,也无乳房组织创伤史。本病例报告及文献综述强调了将坏疽性脓皮病作为乳房溃疡鉴别诊断的重要性。

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2
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Pyoderma gangrenosum of the breast treated with intravenous immunoglobulin.静脉注射免疫球蛋白治疗乳腺坏疽性脓皮病。
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本文引用的文献

1
Pyoderma gangrenosum of the breast: a diagnosis not to be missed.乳房坏疽性脓皮病:一个不容忽视的诊断。
J Plast Reconstr Aesthet Surg. 2011 Jan;64(1):e17-20. doi: 10.1016/j.bjps.2010.07.022. Epub 2010 Sep 18.
2
Pyoderma gangrenosum following bilateral deep inferior epigastric perforator flap breast reconstruction.化脓性汗腺炎(PG)是一种慢性、复发性、破坏性的皮肤疾病,以顶泌汗腺为主要病变部位。临床表现为反复发作的痛性结节、脓疱或深在性溃疡,愈后遗留瘢痕和畸形,好发于肛周、外生殖器、臀部及腋窝等大汗腺分布区域。PG 可分为三型:经典型、穿凿性坏死性脓疱性皮肤病(DNP)和疱疹样脓疱病(PPP),其中经典型最常见。PG 的病因及发病机制尚未完全阐明,目前认为是多种因素共同作用的结果,包括遗传易感性、感染、免疫异常和精神心理因素等。
J Reconstr Microsurg. 2010 Sep;26(7):475-9. doi: 10.1055/s-0030-1261699. Epub 2010 Jun 9.
3
A novel approach to the management of pyoderma gangrenosum complicating reduction mammaplasty.一种新方法用于治疗并发于乳房缩小术的坏疽性脓皮病。
Aesthet Surg J. 2010 Mar;30(2):186-93. doi: 10.1177/1090820X10366011.
4
Pyoderma gangrenosum on the breast: a case presentation and review of the published work.乳房坏疽性脓皮病:病例报告及文献复习。
J Dermatol. 2010 Jan;37(1):107-10. doi: 10.1111/j.1346-8138.2009.00756.x.
5
Pyoderma gangrenosum: clinical presentation and outcome in 18 cases and review of the literature.坏疽性脓皮病:18例临床表现及转归并文献复习
J Dtsch Dermatol Ges. 2007 Jul;5(7):560-4. doi: 10.1111/j.1610-0387.2007.0328.x.
6
Treatment recommendations for pyoderma gangrenosum: an evidence-based review of the literature based on more than 350 patients.坏疽性脓皮病的治疗建议:基于350多名患者的文献循证综述
J Am Acad Dermatol. 2005 Aug;53(2):273-83. doi: 10.1016/j.jaad.2004.10.006.
7
Pyoderma gangrenosum of the "sinus mammarum" in ulcerative colitis.溃疡性结肠炎中“乳腺窦道”的坏疽性脓皮病
G Chir. 2003 Jun-Jul;24(6-7):247-54.
8
Pyoderma gangrenosum; a clinical study of nineteen cases.坏疽性脓皮病;19例临床研究
AMA Arch Derm. 1957 Mar;75(3):380-6. doi: 10.1001/archderm.1957.01550150066007.
9
Pyoderma gangrenosum: a review.坏疽性脓皮病:综述
J Cutan Pathol. 2003 Feb;30(2):97-107. doi: 10.1034/j.1600-0560.2003.00024.x.
10
Understanding pyoderma gangrenosum: a review.坏疽性脓皮病的认识:综述
MedGenMed. 2001 Jun 27;3(3):6.