Korean J Pediatr Gastroenterol Nutr.
2009 Sep;12(2):240-245.
Pyoderma Gangrenosum in a Patient with Ulcerative Colitis: A Case Report
- Affiliations
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- 1Department of Pediatircs, Chungnam National University College of Medicine, Daejeon, Korea. pedkim@cnu.ac.kr
- 2Department of Plastic and Reconstructive Surgery, Chungnam National University College of Medicine, Daejeon, Korea.
Abstract
- Pyoderma gangrenosum associated with ulcerative colitis is an unknown etiology of destructive skin disorder, characterized by progressive painful ulceration. It begins as a erythematous areola or pustule and rapidly progress into a deep ulceration with a discrete and violaceous edge. Early diagnosis followed with non-compressive moist dressing, topical application and systemic immunosuppressants are cornerstone in treating this disease. We report a case of pyoderma gangrenosum exacerbated with incision and drainage in a 15 year old girl with ulcerative colitis. This case emphasizes the importance of early consideration of pyoderma gangrenosum in patient with a background of related systemic disease and minimal traumatized wound care.