A Case Report of Extensive Pyoderma Gangrenosum on the Upper Third of the Body

Hendra Gunawan, Retno Hesty Maharani, Pati Aji Achdiat, Reti Hindritiani Department of Dermatology and Venereology, Faculty of Medicine, Universitas Padjadjaran – Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaCorrespondence: Hendra GunawanDepartment of Dermatology and Venereology, Faculty of...

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Autores principales:	Gunawan H, Maharani RH, Achdiat PA, Hindritiani R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	extensive pyoderma gangrenosum upper third of the body Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/74adce20f67046139c5602f94d1aa95c
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spelling	oai:doaj.org-article:74adce20f67046139c5602f94d1aa95c2021-11-09T18:40:35ZA Case Report of Extensive Pyoderma Gangrenosum on the Upper Third of the Body1178-7015https://doaj.org/article/74adce20f67046139c5602f94d1aa95c2021-11-01T00:00:00Zhttps://www.dovepress.com/a-case-report-of-extensive-pyoderma-gangrenosum-on-the-upper-third-of--peer-reviewed-fulltext-article-CCIDhttps://doaj.org/toc/1178-7015Hendra Gunawan, Retno Hesty Maharani, Pati Aji Achdiat, Reti Hindritiani Department of Dermatology and Venereology, Faculty of Medicine, Universitas Padjadjaran – Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaCorrespondence: Hendra GunawanDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Padjadjaran – Dr. Hasan Sadikin General Hospital, Jl. Pasteur No. 38, Bandung, West Java, 40161, IndonesiaTel +62 222032426 ext. 3449Fax +62 222032426Email h.gunawan2016@unpad.ac.idAbstract: Pyoderma gangrenosum (PG) is a sterile inflammatory neutrophilic dermatosis that can present as a peristomal, pustular, bullous, vegetative, or ulcerative variant. It commonly affects the lower extremities, mainly in the pretibial area. We describe a case of extensive PG in an 18-year-old Indonesian man, involving the upper third of the body. Dermatological examination showed multiple painful ulcers with violaceous borders on the face, occipital region of scalp, neck, shoulder, upper chest, and back. The diagnosis of PG was established based on the histopathological examination that revealed massive dermal neutrophilic infiltration mixed with lymphocytic inflammatory infiltrates accompanied by leukocytoclastic vasculitis. The patient was treated with methylprednisolone equivalent to 1 mg/kg/day of prednisone. An excellent response to therapy also confirmed the diagnosis of PG. Since lesions of PG can appear on any part of the body, including the upper third of the body, a complete and appropriate examination is useful in establishing diagnosis.Keywords: extensive, pyoderma gangrenosum, upper third of the bodyGunawan HMaharani RHAchdiat PAHindritiani RDove Medical Pressarticleextensivepyoderma gangrenosumupper third of the bodyDermatologyRL1-803ENClinical, Cosmetic and Investigational Dermatology, Vol Volume 14, Pp 1645-1649 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	extensive pyoderma gangrenosum upper third of the body Dermatology RL1-803
spellingShingle	extensive pyoderma gangrenosum upper third of the body Dermatology RL1-803 Gunawan H Maharani RH Achdiat PA Hindritiani R A Case Report of Extensive Pyoderma Gangrenosum on the Upper Third of the Body
description	Hendra Gunawan, Retno Hesty Maharani, Pati Aji Achdiat, Reti Hindritiani Department of Dermatology and Venereology, Faculty of Medicine, Universitas Padjadjaran – Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaCorrespondence: Hendra GunawanDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Padjadjaran – Dr. Hasan Sadikin General Hospital, Jl. Pasteur No. 38, Bandung, West Java, 40161, IndonesiaTel +62 222032426 ext. 3449Fax +62 222032426Email h.gunawan2016@unpad.ac.idAbstract: Pyoderma gangrenosum (PG) is a sterile inflammatory neutrophilic dermatosis that can present as a peristomal, pustular, bullous, vegetative, or ulcerative variant. It commonly affects the lower extremities, mainly in the pretibial area. We describe a case of extensive PG in an 18-year-old Indonesian man, involving the upper third of the body. Dermatological examination showed multiple painful ulcers with violaceous borders on the face, occipital region of scalp, neck, shoulder, upper chest, and back. The diagnosis of PG was established based on the histopathological examination that revealed massive dermal neutrophilic infiltration mixed with lymphocytic inflammatory infiltrates accompanied by leukocytoclastic vasculitis. The patient was treated with methylprednisolone equivalent to 1 mg/kg/day of prednisone. An excellent response to therapy also confirmed the diagnosis of PG. Since lesions of PG can appear on any part of the body, including the upper third of the body, a complete and appropriate examination is useful in establishing diagnosis.Keywords: extensive, pyoderma gangrenosum, upper third of the body
format	article
author	Gunawan H Maharani RH Achdiat PA Hindritiani R
author_facet	Gunawan H Maharani RH Achdiat PA Hindritiani R
author_sort	Gunawan H
title	A Case Report of Extensive Pyoderma Gangrenosum on the Upper Third of the Body
title_short	A Case Report of Extensive Pyoderma Gangrenosum on the Upper Third of the Body
title_full	A Case Report of Extensive Pyoderma Gangrenosum on the Upper Third of the Body
title_fullStr	A Case Report of Extensive Pyoderma Gangrenosum on the Upper Third of the Body
title_full_unstemmed	A Case Report of Extensive Pyoderma Gangrenosum on the Upper Third of the Body
title_sort	case report of extensive pyoderma gangrenosum on the upper third of the body
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/74adce20f67046139c5602f94d1aa95c
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A Case Report of Extensive Pyoderma Gangrenosum on the Upper Third of the Body

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