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Revista del Instituto de Medicina Tropical

Print version ISSN 1996-3696


ZARATE, Claudia et al. PYODERMA GANGRENOSUM IN PEDIATRICS. ABOUT A CASE. Rev. Inst. Med. Trop. [online]. 2018, vol.13, n.2, pp.31-38. ISSN 1996-3696.

Pyoderma gangrenosum (PG) is an uncommon cutaneous ulceration, usually idiopathic, associated or not with systemic disorders. The etiopathogenesis of PG is still not well understood. Clinically, it is classified into ulcerative, pustular, bullous and vegetative types. Some atypical and rare variants have also been described. The clinical diagnosis, supported by auxiliary studies (laboratorial, anatomopathological). Some criteria have been proposed for the diagnosis of PG. The treatment consists mainly of corticosteroids and immunosuppressive agents. Clinical case: adolescent, female, without basic pathology, with a history of ulcerative lesion in the right leg of 6 months of evolution, which increases in size over time, consulting on several occasions with torpid ambulatory treatments. In the presence of fever, pain and functional impotence is internal. In the course of hospitalization, it presents significant rectorrhagia with a decrease in Hb. An emergency colonoscopy is performed and a diagnostic unit is achieved with appropriate treatment after 26 DDI.

Keywords : Pyoderma gangrenosum; Crohn's disease; pediatrics.

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