Pyoderma gangrenosum mimicking granulomatosis with polyangiitis: case report and riview of the literature

Pyoderma gangrenosum is an autoinflammatory neutrophilic dermatosis. Diagnosis of the disease remains a difficult task to date, due to the lack of a standard of examination and differential diagnostic signs. The primary elements in the development of PG may be papules, pustules or bullae the dissect...

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Main Authors: Olga Yu. Olisova, Natalia P. Teplyuk, Olga V. Grabovskaya, Diana T. Kusraeva, Lyailya N. Kayumova, Anna E. Bobkova, Vladimir A. Varshavsky, Lyudmila F. Komleva, Ekaterina V. Petrenko, Ksenia Yu. Bobrova
Format: Article
Language:English
Published: State Scientific Center of Dermatovenereology and Cosmetology 2023-05-01
Series:Vestnik Dermatologii i Venerologii
Subjects:
Online Access:https://vestnikdv.ru/jour/article/viewFile/1386/pdf
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author Olga Yu. Olisova
Natalia P. Teplyuk
Olga V. Grabovskaya
Diana T. Kusraeva
Lyailya N. Kayumova
Anna E. Bobkova
Vladimir A. Varshavsky
Lyudmila F. Komleva
Ekaterina V. Petrenko
Ksenia Yu. Bobrova
author_facet Olga Yu. Olisova
Natalia P. Teplyuk
Olga V. Grabovskaya
Diana T. Kusraeva
Lyailya N. Kayumova
Anna E. Bobkova
Vladimir A. Varshavsky
Lyudmila F. Komleva
Ekaterina V. Petrenko
Ksenia Yu. Bobrova
author_sort Olga Yu. Olisova
collection DOAJ
description Pyoderma gangrenosum is an autoinflammatory neutrophilic dermatosis. Diagnosis of the disease remains a difficult task to date, due to the lack of a standard of examination and differential diagnostic signs. The primary elements in the development of PG may be papules, pustules or bullae the dissection of which subsequently leads to the formation of ulcers with irregular, violaceous, undermined borders. In rare cases, the diagnosis of the disease can also be complicated by the rapid development of internal organs damage symptoms, which must be regarded as extracutaneous manifestations of PG. Extracutaneous lesions can occur before, during or after the appearance of skin rashes, and the detection of sterile neutrophil infiltrates in the defeat of internal organs confirm the concept of PG as a multisystemic disease. The presented case of a rare course of PG with multiple skin lesions and extracutaneous manifestations, simulating systemic vasculitis, emphasizes the importance of a detailed examination of patients in order to make a correct diagnosis and prescribe timely adequate treatment.
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spelling doaj.art-94a334b42c5741c8940d8abe84bbe1092023-07-06T09:07:43ZengState Scientific Center of Dermatovenereology and CosmetologyVestnik Dermatologii i Venerologii0042-46092313-62942023-05-01992707910.25208/vdv13861211Pyoderma gangrenosum mimicking granulomatosis with polyangiitis: case report and riview of the literatureOlga Yu. Olisova0https://orcid.org/0000-0003-2482-1754Natalia P. Teplyuk1https://orcid.org/0000-0002-5800-4800Olga V. Grabovskaya2https://orcid.org/0000-0002-5259-7481Diana T. Kusraeva3https://orcid.org/0000-0002-5633-7986Lyailya N. Kayumova4https://orcid.org/0000-0003-0301-737XAnna E. Bobkova5https://orcid.org/0000-0003-3611-0917Vladimir A. Varshavsky6https://orcid.org/0000-0002-5855-3092Lyudmila F. Komleva7https://orcid.org/0000-0002-7855-8480Ekaterina V. Petrenko8https://orcid.org/0000-0001-5296-5734Ksenia Yu. Bobrova9https://orcid.org/0000-0003-3645-0487I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)Kaluga Region Clinical Dermatovenereologic DispensaryKaluga Region Clinical Dermatovenereologic DispensaryKaluga Region Clinical Dermatovenereologic DispensaryPyoderma gangrenosum is an autoinflammatory neutrophilic dermatosis. Diagnosis of the disease remains a difficult task to date, due to the lack of a standard of examination and differential diagnostic signs. The primary elements in the development of PG may be papules, pustules or bullae the dissection of which subsequently leads to the formation of ulcers with irregular, violaceous, undermined borders. In rare cases, the diagnosis of the disease can also be complicated by the rapid development of internal organs damage symptoms, which must be regarded as extracutaneous manifestations of PG. Extracutaneous lesions can occur before, during or after the appearance of skin rashes, and the detection of sterile neutrophil infiltrates in the defeat of internal organs confirm the concept of PG as a multisystemic disease. The presented case of a rare course of PG with multiple skin lesions and extracutaneous manifestations, simulating systemic vasculitis, emphasizes the importance of a detailed examination of patients in order to make a correct diagnosis and prescribe timely adequate treatment.https://vestnikdv.ru/jour/article/viewFile/1386/pdfpyoderma gangrenosumgranulomatosis with polyangiitiscase report
spellingShingle Olga Yu. Olisova
Natalia P. Teplyuk
Olga V. Grabovskaya
Diana T. Kusraeva
Lyailya N. Kayumova
Anna E. Bobkova
Vladimir A. Varshavsky
Lyudmila F. Komleva
Ekaterina V. Petrenko
Ksenia Yu. Bobrova
Pyoderma gangrenosum mimicking granulomatosis with polyangiitis: case report and riview of the literature
Vestnik Dermatologii i Venerologii
pyoderma gangrenosum
granulomatosis with polyangiitis
case report
title Pyoderma gangrenosum mimicking granulomatosis with polyangiitis: case report and riview of the literature
title_full Pyoderma gangrenosum mimicking granulomatosis with polyangiitis: case report and riview of the literature
title_fullStr Pyoderma gangrenosum mimicking granulomatosis with polyangiitis: case report and riview of the literature
title_full_unstemmed Pyoderma gangrenosum mimicking granulomatosis with polyangiitis: case report and riview of the literature
title_short Pyoderma gangrenosum mimicking granulomatosis with polyangiitis: case report and riview of the literature
title_sort pyoderma gangrenosum mimicking granulomatosis with polyangiitis case report and riview of the literature
topic pyoderma gangrenosum
granulomatosis with polyangiitis
case report
url https://vestnikdv.ru/jour/article/viewFile/1386/pdf
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