HARUN DÜĞEROĞLU, HAVVA ERDEM, Nurten TURHAN-HAKTANIR, SEVDA ÖNDER, YASEMİN KAYA

Atipik yerleşimli piyoderma gangrenozum olgusu

Piyodermagangrenozum(PG), nedeni tam olarak aydınlatılamamış, nötrofilikdermatozlar grubundan bir hastalıktır. Primer olarak anormal nötrofilkemotaksisininpatogenezde sorumlu olduğu düşünülmektedir. Lezyonlar ağrılı, deriden kabarık, hassas ve ülsere nodüller şeklindedir. PG, birçok hastalıkla birlikte görülebilir. Ancak, PG idiyopatik olarak da görülebilir.Burada atipik yerleşimli olarak sol lateralgluteal bölgede ortaya çıkan büyük, ülsere, etrafı endüre ve eritemli olan, lezyonun yara kenarından alınan biyopside piyodermagangrenosum olarak değerlendirilen vakamızı sunuyoruz.

Pyoderma gangrenosum (PG) is a chronic inflammatory skin disease that is present in a group of rare, compromised, neutrophilic dermatoses. It is seen in adult ages, especially ages 25-50. From the lesions that start as painful nodules or pustules, ulcers develop on the edges, which tend to be puffy, tender, and gradually expanding. Lesions may be seen as idiopathic, single or multiple lesions with or without systemic diseases such as malignancy, ulcerative colitis, Crohn's disease, polyarthritis, monoclonal gammopathy. Here we present our case, which is a large, ulcerated, circumscribed, and erythematous lesion located at the left lateral gluteal region as atypically localized, biopside pyoderma gangrenosum taken from the wound side of the lesion.

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