Photoletter to the editor: Oral ulceration in pyoderma gangrenosum.

Hdl Handle:
http://hdl.handle.net/10147/207348
Title:
Photoletter to the editor: Oral ulceration in pyoderma gangrenosum.
Authors:
Verma, Saroj; Field, Sinead; Murphy, Gillian
Affiliation:
Department of Dermatology, Beaumont Hospital, Dublin, Ireland.
Citation:
J Dermatol Case Rep. 2011 Jun 6;5(2):34-5.
Journal:
Journal of dermatological case reports
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207348
DOI:
10.3315/jdcr.2011.1070
PubMed ID:
21894254
Abstract:
A 65-year-old woman presented with widespread necrotising cutaneous ulceration and oral involvement. Past history included rheumatoid arthritis, and a left nephrectomy.Examination revealed multiple violaceous undermined ulcers. Blood investigations showed an acute inflammatory response. Skin histopathology showed epidermal ulceration with acute and chronic inflammation. Direct immunofluorescence was negative. A diagnosis of pyoderma gangrenosum with oral involvement was made. Mycophenolate mofetil therapy resulted in complete resolution of her pyoderma gangrenosum. Her treatment was complicated by a left proteus mirabilis psoas abscess. This resolved following four weeks of antibiotics.Pyoderma gangrenosum with oral involvement is rare but has been linked with inflammatory bowel disease and hematological disorders. Oral pyoderma gangrenosum has not previously been described in rheumatoid arthritis. Primary psoas abscess is rare but can develop in immunocompromised patients. Proteus mirabilis has been reported in patients years after nephrectomy. This is a rare case of pyoderma gangrenosum with oral involvement.
Language:
eng
ISSN:
1898-7249 (Electronic); 1898-7249 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorVerma, Sarojen_GB
dc.contributor.authorField, Sineaden_GB
dc.contributor.authorMurphy, Gillianen_GB
dc.date.accessioned2012-02-01T10:05:24Z-
dc.date.available2012-02-01T10:05:24Z-
dc.date.issued2012-02-01T10:05:24Z-
dc.identifier.citationJ Dermatol Case Rep. 2011 Jun 6;5(2):34-5.en_GB
dc.identifier.issn1898-7249 (Electronic)en_GB
dc.identifier.issn1898-7249 (Linking)en_GB
dc.identifier.pmid21894254en_GB
dc.identifier.doi10.3315/jdcr.2011.1070en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207348-
dc.description.abstractA 65-year-old woman presented with widespread necrotising cutaneous ulceration and oral involvement. Past history included rheumatoid arthritis, and a left nephrectomy.Examination revealed multiple violaceous undermined ulcers. Blood investigations showed an acute inflammatory response. Skin histopathology showed epidermal ulceration with acute and chronic inflammation. Direct immunofluorescence was negative. A diagnosis of pyoderma gangrenosum with oral involvement was made. Mycophenolate mofetil therapy resulted in complete resolution of her pyoderma gangrenosum. Her treatment was complicated by a left proteus mirabilis psoas abscess. This resolved following four weeks of antibiotics.Pyoderma gangrenosum with oral involvement is rare but has been linked with inflammatory bowel disease and hematological disorders. Oral pyoderma gangrenosum has not previously been described in rheumatoid arthritis. Primary psoas abscess is rare but can develop in immunocompromised patients. Proteus mirabilis has been reported in patients years after nephrectomy. This is a rare case of pyoderma gangrenosum with oral involvement.en_GB
dc.language.isoengen_GB
dc.titlePhotoletter to the editor: Oral ulceration in pyoderma gangrenosum.en_GB
dc.contributor.departmentDepartment of Dermatology, Beaumont Hospital, Dublin, Ireland.en_GB
dc.identifier.journalJournal of dermatological case reportsen_GB
dc.description.provinceLeinster-

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