Lung Involvement in Pyoderma Gangrenosum: A Case Report and Review of the Literature

Abstract Pyoderma gangrenosum is a neutrophilic dermatosis that, in addition to its characteristic skin manifestations, can cause visceral alterations. Our patient was a 34-year-old woman with pyoderma gangrenosum that was exacerbated by iodine and that also affected the lungs. Other published cases...

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Bibliographic Details
Published in:Actas dermo-sifiliográficas (English ed.) 2011, Vol.102 (5), p.373-377
Main Authors: Batalla, A, Pérez-Pedrosa, A, García-Doval, I, González-Barcala, F.J, Rosón, E, De La Torre, C
Format: Article
Language:English
Subjects:
Adult
Dermatology
Female
Granulomatosis de Wegener
Humans
Internal Medicine
Iodine
Lung
Lung Diseases - etiology
Pioderma gangrenoso
Pulmón
Pyoderma gangrenosum
Pyoderma Gangrenosum - complications
Wegener granulomatosis
Yoduros
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Summary:Abstract Pyoderma gangrenosum is a neutrophilic dermatosis that, in addition to its characteristic skin manifestations, can cause visceral alterations. Our patient was a 34-year-old woman with pyoderma gangrenosum that was exacerbated by iodine and that also affected the lungs. Other published cases of lung involvement in pyoderma gangrenosum are reviewed and we discuss the possible exacerbation of this disease by iodine. Lung involvement is the most common extracutaneous manifestation of pyoderma gangrenosum and the main differential diagnosis is then with Wegener granulomatosis. It is important to remember the possible presentation of extracutaneous manifestations of pyoderma gangrenosum, including particularly lung involvement, in order to avoid subjecting a patient to aggressive diagnostic tests, at least in the initial stages.
ISSN:1578-2190
2173-5778
1578-2190
DOI:10.1016/S1578-2190(11)70820-4