Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26060412
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26060412
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Clin+Cosmet+Investig+Dermatol
2015 ; 8
(ä): 285-93
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Pyoderma gangrenosum: challenges and solutions
#MMPMID26060412
Gameiro A
; Pereira N
; Cardoso JC
; Gonçalo M
Clin Cosmet Investig Dermatol
2015[]; 8
(ä): 285-93
PMID26060412
show ga
Pyoderma gangrenosum (PG) is a rare disease, but commonly related to important
morbidity. PG was first assumed to be infectious, but is now considered an
inflammatory neutrophilic disease, often associated with autoimmunity, and with
chronic inflammatory and neoplastic diseases. Currently, many aspects of the
underlying pathophysiology are not well understood, and etiology still remains
unknown. PG presents as painful, single or multiple lesions, with several
clinical variants, in different locations, with a non specific histology, which
makes the diagnosis challenging and often delayed. In the classic ulcerative
variant, characterized by ulcers with inflammatory undermined borders, a broad
differential diagnosis of malignancy, infection, and vasculitis needs to be
considered, making PG a diagnosis of exclusion. Moreover, there are no
definitively accepted diagnostic criteria. Treatment is also challenging since,
due to its rarity, clinical trials are difficult to perform, and consequently,
there is no "gold standard" therapy. Patients frequently require aggressive
immunosuppression, often in multidrug regimens that are not standardized. We
reviewed the clinical challenges of PG in order to find helpful clues to improve
diagnostic accuracy and the treatment options, namely topical care, systemic
drugs, and the new emerging therapies that may reduce morbidity.