静脉注射免疫球蛋白成功治疗浅表性肉芽肿性脓皮病
Superficial Granulomatous Pyoderma Successfully Treated with Intravenous Immunoglobulin.
作者信息
Borg Grech Sarah, Vella Baldacchino Andrea, Corso Roberto, Pisani David, Boffa Michael J
机构信息
Department of Medicine, Mater Dei Hospital, Malta.
Department of Gastroenterology, Mater Dei Hospital, Malta.
出版信息
Eur J Case Rep Intern Med. 2021 Sep 9;8(9):002656. doi: 10.12890/2021_002656. eCollection 2021.
UNLABELLED
Superficial granulomatous pyoderma is a relatively rare variant of pyoderma gangrenosum, characterized by superficial ulceration with a vegetative margin and a clean granulating base. Ulcers in superficial granulomatous pyoderma are typically located on the trunk and may follow minor trauma. It may be misdiagnosed as classic pyoderma gangrenosum, despite having distinct characteristics. Here we report a case of superficial granulomatous pyoderma successfully treated with intravenous immunoglobulin (IVIg).
LEARNING POINTS
Superficial granulomatous pyoderma is a rare variant of pyoderma gangrenosum.Histopathological and clinical characteristics of superficial granulomatous pyoderma are distinct from those of classic pyoderma gangrenosum.Superficial granulomatous pyoderma is often slow-growing and is only rarely linked to underlying systemic disease.IVIg may be an effective treatment option for superficial granulomatous pyoderma.
未标记
浅表性肉芽肿性脓皮病是坏疽性脓皮病一种相对罕见的变异型，其特征为伴有增殖性边缘和清洁肉芽形成基底的浅表溃疡。浅表性肉芽肿性脓皮病的溃疡通常位于躯干，且可能继发于轻微创伤后。尽管具有独特特征，但它可能被误诊为典型坏疽性脓皮病。在此，我们报告1例经静脉注射免疫球蛋白（IVIg）成功治疗的浅表性肉芽肿性脓皮病病例。
学习要点
浅表性肉芽肿性脓皮病是坏疽性脓皮病的一种罕见变异型。浅表性肉芽肿性脓皮病的组织病理学和临床特征与典型坏疽性脓皮病不同。浅表性肉芽肿性脓皮病通常生长缓慢，很少与潜在的全身性疾病相关。IVIg可能是浅表性肉芽肿性脓皮病的一种有效治疗选择。
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