Avtor/Urednik     Ferkolj, I; Hočevar, A; Golouh, R; Dolenc-Voljč, M
Naslov     Infliximab for treatment of resistant pyoderma gangrenosum associated with Crohn's disease
Tip     članek
Vir     Acta Dermatovenerol Alp Pannon Adriat
Vol. in št.     Letnik 15, št. 4
Leto izdaje     2006
Obseg     str. 173-7
Jezik     eng
Abstrakt     We present the case of an 18-year-old woman with Crohn's disease manifested by diffuse abdominal pain, bloody diarrhea accompanied by arthralgia, and swelling of large joints. On the lateral aspect of her right ankle there was an hemorrhagic, necrotic bullous lesion measuring 3 x 4 cm, surrounded by cutaneous inflammation and erythema. Biopsy showed a neutrophilic abscess-like ulcerative skin inflammation, which was diagnosed as pyoderma gangrenosum. The patient was treated with high doses of parenteral methylprednisolone, but her condition failed to improve and infliximab, a TNF-alpha blocking agent, was instituted. An immediate response of Crohn's disease was observed and, over the next 5 weeks, the ulcer on her right ankle also healed completely.
Deskriptorji     CROHN DISEASE
PYODERMA GANGRENOSUM
TUMOR NECROSIS FACTOR