Pyoderma gangrenosum associated with ulcerative colitis and tuberculosis brain abscess successfully treated with intravenous immunoglobulin

Pyoderma gangrenosum (PG) is a rare noninfectious autoinflammatory neutrophilic dermatoses occurring in 5%–12% of patients with ulcerative colitis (UC). Clinically, it is classified into ulcerative, pustular, bullous, and vegetative types. A few atypical and rare variants have also been described. T...

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Main Authors: G S Nayanathara, Varadraj Vasant Pai, Rakhi Ghodge
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Clinical Dermatology Review
Subjects:
Online Access:http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2024;volume=8;issue=1;spage=73;epage=75;aulast=Nayanathara
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author G S Nayanathara
Varadraj Vasant Pai
Rakhi Ghodge
author_facet G S Nayanathara
Varadraj Vasant Pai
Rakhi Ghodge
author_sort G S Nayanathara
collection DOAJ
description Pyoderma gangrenosum (PG) is a rare noninfectious autoinflammatory neutrophilic dermatoses occurring in 5%–12% of patients with ulcerative colitis (UC). Clinically, it is classified into ulcerative, pustular, bullous, and vegetative types. A few atypical and rare variants have also been described. The disease is characterized by painful cutaneous ulcers and is often associated with systemic diseases. Inflammatory bowel disease may precede it, follow it or occur simultaneously with PG. In some patients, control of bowel disease also leads to control of PG, but this does not occur in all patients. The mainstay of treatment is long-term immunosuppression with corticosteroids or ciclosporin. Herein, we present a case of PG associated with UC in whom immunosuppressants are contraindicated, was treated successfully with IV immunoglobulins.
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spelling doaj.art-883f3c4149574d3c9612dd5c9548f7ed2024-02-22T14:42:15ZengWolters Kluwer Medknow PublicationsClinical Dermatology Review2542-551X2542-55282024-01-0181737510.4103/cdr.cdr_91_22Pyoderma gangrenosum associated with ulcerative colitis and tuberculosis brain abscess successfully treated with intravenous immunoglobulinG S NayanatharaVaradraj Vasant PaiRakhi GhodgePyoderma gangrenosum (PG) is a rare noninfectious autoinflammatory neutrophilic dermatoses occurring in 5%–12% of patients with ulcerative colitis (UC). Clinically, it is classified into ulcerative, pustular, bullous, and vegetative types. A few atypical and rare variants have also been described. The disease is characterized by painful cutaneous ulcers and is often associated with systemic diseases. Inflammatory bowel disease may precede it, follow it or occur simultaneously with PG. In some patients, control of bowel disease also leads to control of PG, but this does not occur in all patients. The mainstay of treatment is long-term immunosuppression with corticosteroids or ciclosporin. Herein, we present a case of PG associated with UC in whom immunosuppressants are contraindicated, was treated successfully with IV immunoglobulins.http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2024;volume=8;issue=1;spage=73;epage=75;aulast=Nayanatharaintravenous immunoglobulinpyoderma gangrenosumtuberculosis brain abscessulcerative colitis
spellingShingle G S Nayanathara
Varadraj Vasant Pai
Rakhi Ghodge
Pyoderma gangrenosum associated with ulcerative colitis and tuberculosis brain abscess successfully treated with intravenous immunoglobulin
Clinical Dermatology Review
intravenous immunoglobulin
pyoderma gangrenosum
tuberculosis brain abscess
ulcerative colitis
title Pyoderma gangrenosum associated with ulcerative colitis and tuberculosis brain abscess successfully treated with intravenous immunoglobulin
title_full Pyoderma gangrenosum associated with ulcerative colitis and tuberculosis brain abscess successfully treated with intravenous immunoglobulin
title_fullStr Pyoderma gangrenosum associated with ulcerative colitis and tuberculosis brain abscess successfully treated with intravenous immunoglobulin
title_full_unstemmed Pyoderma gangrenosum associated with ulcerative colitis and tuberculosis brain abscess successfully treated with intravenous immunoglobulin
title_short Pyoderma gangrenosum associated with ulcerative colitis and tuberculosis brain abscess successfully treated with intravenous immunoglobulin
title_sort pyoderma gangrenosum associated with ulcerative colitis and tuberculosis brain abscess successfully treated with intravenous immunoglobulin
topic intravenous immunoglobulin
pyoderma gangrenosum
tuberculosis brain abscess
ulcerative colitis
url http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2024;volume=8;issue=1;spage=73;epage=75;aulast=Nayanathara
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AT varadrajvasantpai pyodermagangrenosumassociatedwithulcerativecolitisandtuberculosisbrainabscesssuccessfullytreatedwithintravenousimmunoglobulin
AT rakhighodge pyodermagangrenosumassociatedwithulcerativecolitisandtuberculosisbrainabscesssuccessfullytreatedwithintravenousimmunoglobulin