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EXUBERANT PYODERMA GANGRENOSUM IN A PATIENT WITH AUTOIMMUNE HEPATITIS
Hepatitis
Leg ulcer
Pyoderma
Pyoderma gangrenosum
Sodium carboxymethylcellulose
Skin ulcer
Therapeutics
Ulcer
Affilliation
Universidade Federal do Rio de Janeiro. Department of Dermatology. Rio de Janeiro, RJ, Brazil.
Universidade Federal do Rio de Janeiro. Department of Dermatology. Rio de Janeiro, RJ, Brazil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Departamento de Patologia. Rio de Janeiro, RJ, Brasil.
Universidade Federal do Rio de Janeiro. Department of Dermatology. Rio de Janeiro, RJ, Brazil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Departamento de Patologia. Rio de Janeiro, RJ, Brasil.
Abstract
Pyoderma gangrenosum is a rare neutrophilic dermatosis, which usually presents as ulcers with erythematous-violaceous undermined edges and a rough base with purulent or sanguinous exudate. It can be primary or associated with an underlying disease. However, rare cases of its association with autoimmune hepatitis have been described in the literature. Diagnosis is based on a characteristic clinical picture and ruling out other causes of ulcers. This paper aims to discuss the management of corticosteroid therapy and the importance of local treatment. We report a case with torpid evolution, presented with multiple and deep ulcers in a young patient with autoimmune hepatitis, causing pain and significant disability. We observed complete healing of lesions after two months of successful treatment.
Keywords
Autoimmune hepatitisHepatitis
Leg ulcer
Pyoderma
Pyoderma gangrenosum
Sodium carboxymethylcellulose
Skin ulcer
Therapeutics
Ulcer
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