Pyoderma gangrenosum in a patient with type 2 diabetes: a case report

We are presenting a case of patient with type 2 diabetes mellitus that was diagnosed with a soft tissue infection in the lower extremity. This was initially treated as cellulitis and antibiotic treatment was initiated. Due to a poor clinical response, the diagnosis of pyoderma gangrenosum was propos...

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Autores:
Toledo-Contreras, Abdón
Bermúdez, Valmore
Toledo, Andrés José
Salazar, Juan
Martínez, María Sofía
Rojas, Edward
Roque, Willy
Pérez, Arturo
Chacín-González, Maricarmen
Rojas, Joselyn
Tipo de recurso:
Fecha de publicación:
2020
Institución:
Universidad Simón Bolívar
Repositorio:
Repositorio Digital USB
Idioma:
eng
OAI Identifier:
oai:bonga.unisimon.edu.co:20.500.12442/5117
Acceso en línea:
https://hdl.handle.net/20.500.12442/5117
Palabra clave:
Pioderma Gangrenosa
Esteroides
Diabetes Mellitus Tipo 2
Desbridamiento Quirúrgico
Pyoderma Gangrenosum
Glucocorticoids Type 2
Surgical Debridement
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License
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
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dc.title.eng.fl_str_mv Pyoderma gangrenosum in a patient with type 2 diabetes: a case report
dc.title.translated.spa.fl_str_mv Pioderma gangrenosa en un paciente diabético tipo 2: reporte de un caso
title Pyoderma gangrenosum in a patient with type 2 diabetes: a case report
spellingShingle Pyoderma gangrenosum in a patient with type 2 diabetes: a case report
Pioderma Gangrenosa
Esteroides
Diabetes Mellitus Tipo 2
Desbridamiento Quirúrgico
Pyoderma Gangrenosum
Glucocorticoids Type 2
Surgical Debridement
title_short Pyoderma gangrenosum in a patient with type 2 diabetes: a case report
title_full Pyoderma gangrenosum in a patient with type 2 diabetes: a case report
title_fullStr Pyoderma gangrenosum in a patient with type 2 diabetes: a case report
title_full_unstemmed Pyoderma gangrenosum in a patient with type 2 diabetes: a case report
title_sort Pyoderma gangrenosum in a patient with type 2 diabetes: a case report
dc.creator.fl_str_mv Toledo-Contreras, Abdón
Bermúdez, Valmore
Toledo, Andrés José
Salazar, Juan
Martínez, María Sofía
Rojas, Edward
Roque, Willy
Pérez, Arturo
Chacín-González, Maricarmen
Rojas, Joselyn
dc.contributor.author.none.fl_str_mv Toledo-Contreras, Abdón
Bermúdez, Valmore
Toledo, Andrés José
Salazar, Juan
Martínez, María Sofía
Rojas, Edward
Roque, Willy
Pérez, Arturo
Chacín-González, Maricarmen
Rojas, Joselyn
dc.subject.spa.fl_str_mv Pioderma Gangrenosa
Esteroides
Diabetes Mellitus Tipo 2
Desbridamiento Quirúrgico
topic Pioderma Gangrenosa
Esteroides
Diabetes Mellitus Tipo 2
Desbridamiento Quirúrgico
Pyoderma Gangrenosum
Glucocorticoids Type 2
Surgical Debridement
dc.subject.eng.fl_str_mv Pyoderma Gangrenosum
Glucocorticoids Type 2
Surgical Debridement
description We are presenting a case of patient with type 2 diabetes mellitus that was diagnosed with a soft tissue infection in the lower extremity. This was initially treated as cellulitis and antibiotic treatment was initiated. Due to a poor clinical response, the diagnosis of pyoderma gangrenosum was proposed as part of the differential diagnosis. Skin biopsies and pathology confirmed the diagnosis of pyoderma gangrenosum that had a satisfactory response to steroid treatment.
publishDate 2020
dc.date.accessioned.none.fl_str_mv 2020-04-16T20:33:07Z
dc.date.available.none.fl_str_mv 2020-04-16T20:33:07Z
dc.date.issued.none.fl_str_mv 2020
dc.type.eng.fl_str_mv article
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dc.type.driver.eng.fl_str_mv article
dc.identifier.issn.none.fl_str_mv 24779628
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12442/5117
identifier_str_mv 24779628
url https://hdl.handle.net/20.500.12442/5117
dc.language.iso.eng.fl_str_mv eng
language eng
dc.rights.*.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
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dc.format.mimetype.eng.fl_str_mv pdf
dc.publisher.spa.fl_str_mv Universidad del Zulia
dc.source.spa.fl_str_mv Revista Kasmera
dc.source.eng.fl_str_mv Vol. 48, No. 1 (2020)
institution Universidad Simón Bolívar
dc.source.uri.spa.fl_str_mv https://produccioncientificaluz.org/index.php/kasmera/article/view/29907/pdf
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spelling Toledo-Contreras, Abdón161cc308-c0e4-438b-84b0-a520aa3fbaedBermúdez, Valmore29f9aa18-16a4-4fd3-8ce5-ed94a0b8663aToledo, Andrés Joséfbe283ff-28c1-4da8-8bc4-28c5984372b6Salazar, Juanfbd053e7-5aea-424c-812f-92153ecb9181Martínez, María Sofía24132de7-a45a-499c-aa91-9dc68c5cbf09Rojas, Edward94d56218-0c78-40f2-a501-74feeca9191cRoque, Willy8e7539fe-84fa-4b17-8fbd-7dcdd912e2eaPérez, Arturo6c2e5109-a571-44c6-b88f-62dbe49d50d2Chacín-González, Maricarmenf2de0f64-ef1d-446f-97f7-509c45051d35Rojas, Joselyn2aa91570-0516-424d-8f76-25cd7b39be6e2020-04-16T20:33:07Z2020-04-16T20:33:07Z202024779628https://hdl.handle.net/20.500.12442/5117We are presenting a case of patient with type 2 diabetes mellitus that was diagnosed with a soft tissue infection in the lower extremity. This was initially treated as cellulitis and antibiotic treatment was initiated. Due to a poor clinical response, the diagnosis of pyoderma gangrenosum was proposed as part of the differential diagnosis. Skin biopsies and pathology confirmed the diagnosis of pyoderma gangrenosum that had a satisfactory response to steroid treatment.Se presenta el caso de una paciente diabética tipo 2 que inicialmente fue diagnosticada como una celulitis complicada del miembro inferior izquierdo, pero ante la pobre respuesta con el tratamiento antibiótico, se consideró el diagnóstico de pioderma gangrenosa, confirmado anatomopatológicamente, con respuesta satisfactoria al tratamiento esteroideo tópico.pdfengUniversidad del ZuliaAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Revista KasmeraVol. 48, No. 1 (2020)https://produccioncientificaluz.org/index.php/kasmera/article/view/29907/pdfPioderma GangrenosaEsteroidesDiabetes Mellitus Tipo 2Desbridamiento QuirúrgicoPyoderma GangrenosumGlucocorticoids Type 2Surgical DebridementPyoderma gangrenosum in a patient with type 2 diabetes: a case reportPioderma gangrenosa en un paciente diabético tipo 2: reporte de un casoarticlearticlehttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Acosta-García J, Aguilar-García CR. Pioderma gangrenoso. Med Int Méx [Internet]. 2014;30(1):92-8. Available in: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=48345Ferrándiz-Pulido C, García-Patos Briones V. Pioderma gangrenoso. Diagnóstico y tratamiento. Piel [Internet]. 2008;23(1):24-9. Available in: http://www.sciencedirect.com/science/article/pii/S0213925108709699 DOI: 10.1016/S0213-9251(08)70969-9Bertoló MS, Ruiz M, Contreras C. Pioderma gangrenoso: excelente respuesta a tratamiento tópico. Rev Med Chil [Internet]. 2015;143(1):130-1. Available in: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000100021&lng=en&nrm=iso&tlng=en DOI: 10.4067/S0034-98872015000100021 PMID 25860283Ruiz A, Bravo F. Pioderma gangrenoso: reporte de un caso y revisión de la literatura. Folia Dermatol Peru [Internet]. 2006;17(2):82-9. Available in: http://sisbib.unmsm.edu.pe/BVRevistas/folia/vol17_N2/pdf/a07v17n2.pdfLois M, Pizzariello G, Olivares L, Maronna E. Estudio retrospectivo de pacientes con pioderma gangrenoso en un período de 20 años y revisión de la literatura. Dermatología Argentina [Internet]. 2012;18(2):16-23. Available in: http://www.dermatolarg.org.ar/index.php/dermatolarg/article/view/879/482Cabrera AO. Pioderma Gangrenoso: Revisión de la literatura. Rev Med de Costa Rica y Centroamérica. [Internet]., 2010; 67. Available in: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=28575Lama DF, Navarrete NN, Amaro BP, Berroeta MD. Actualización en tratamiento de pioderma gangrenoso: revisión de la literatura. Rev Chil Dermatol [Internet]. 2012;28(3):287-95. Available in: http://www.sochiderm.org/web/revista/28_3/5.pdfKo C, Walton S, Wyatt E. Pyodermia gangrenosum: associations revisited. Int J Dermatol [Internet]. 1992;31(8):574-7. Available in: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-4362.1992.tb02723.x?sid=nlm%3Apubmed DOI: 10.1111/j.1365-4362.1992.tb02723.x PMID 1428451Goreti Catorze M, Pereira F, Fonseca F, Morbey A, Assis Pacheco F. Pyoderma gangrenosum associated with sclerosing cholangitis, type 1 diabetes mellitus and ulcerative colitis. J Eur Acad Dermatology Venereol [Internet]. 2001;15(3):257-9. Available in: https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1468-3083.2001.00260.x?sid=nlm%3Apubmed DOI: 10.1046/j.1468-3083.2001.00260.x PMID 1168329Powell F, Schroeter A, Su W, Perry H. Pyoderma gangrenosum: a review of 86 patients. Q J Med [Internet]. 1985;55(217):173-86. Available in: https://pubmed.ncbi.nlm.nih.gov/3889978 PMID 3889978Graham JA, Hansen KK, Rabinowitz LG, Esterly NB. Pyoderma Gangrenosum in Infants and Children. Pediatr Dermatol [Internet]. 1994;11(1):10-7. Available in: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1525-1470.1994.tb00065.x?sid=nlm%3Apubmed DOI: 10.1111/j.1525-1470.1994.tb00065.x PMID 8170841Brunsting LA, Goeckerman WH, O’Leary PA. Pyoderma (Echthyma) Gangrenosum: clinical and experimental observations in five cases occurring in adults. Arch Derm Syphilol [Internet]. 1930;22(4):655-80. Available in: https://jamanetwork.com/journals/jamadermatology/article-abstract/505411Callen JP. Pyoderma Gangrenosum and Related Disorders. Med Clin North Am [Internet]. 1989;73(5):1247-61. Available in: http://www.sciencedirect.com/science/article/pii/S0025712516306320 DOI: 10.1016/S0025-7125(16)30632-0 PMID 2671544Kridin K, Cohen AD, Amber KT. Underlying Systemic Diseases in Pyoderma Gangrenosum: A Systematic Review and Meta-Analysis. Am J Clin Dermatol [Internet]. 2018;19(4):479-87. Available in: https://link.springer.com/article/10.1007%2Fs40257-018-0356-7 DOI: 10.1007/s40257-018-0356-7 PMID 29721816Ruocco E, Sangiuliano S, Gravina A, Miranda A, Nicoletti G. Pyoderma gangrenosum: an updated review. J Eur Acad Dermatology Venereol [Internet]. 2009;23(9):1008-17. 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