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array:1 [ "titulo" => "Pioderma gangrenoso periestomal en paciente con enfermedad inflamatoria intestinal" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1187 "Ancho" => 1583 "Tamanyo" => 144570 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 77-year-old female patient, who had been previously diagnosed with granulomatous colitis and had a colostomy, was admitted for an acute episode. She presented painful, irregular, and deep ulcers on the peristomal circumference that led to its disengagement. The pathology report of a skin punch biopsy identified neutrophil infiltration to the hypodermis, focal abscesses, microgranulomas and necrosis compatible with pyoderma gangrenosum. Treatment was started with IV corticosteroids, topical metronidazole, local treatment with Aquacel® and hydrocolloid dressings. Due to progressive worsening of the ulcers (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), we decided to escalate treatment to infiltration with corticosteroids and 0.1% tacrolimus ointment. Given the persistence of the condition, treatment with infliximab was started, and the condition gradually improved until the skin was intact, observing no problems with the devices (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Garcia Dominguez A, Saralegui Ansorena Y, Artola Etxeberria M, Enríquez-Navascués JM. Pioderma gangrenoso periestomal en paciente con enfermedad inflamatoria intestinal. 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Peristomal pyoderma gangrenosum in a patient with inflammatory bowel disease
Pioderma gangrenoso periestomal en paciente con enfermedad inflamatoria intestinal
Amaia Garcia Dominguez
, Yolanda Saralegui Ansorena, Marta Artola Etxeberria, Jose María Enríquez-Navascués
Corresponding author
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Donostia, San Sebastián-Donostia, Guipúzcoa, Spain