Pyoderma Gangrenosum Presenting with Pulmonary Cavitary Lesions
Şebnem Yosunkaya 1, Hatice Toy 2, Emine Genç 3, Bengi Akın 1, Emin Maden 1, Faruk Özer 1
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1 Selcuk University, Meram Medical Faculty, Department of Pulmonary Medicine, Konya, Turkey
2 Selcuk University, Meram Medical Faculty, Department of Pathology Konya, Turkey
3 Selcuk University Meram Medical Faculty, Department of Neurology, Konya Turkey

Abstract

Neutrophilic dermatoses like pyoderma gangrenosum (PG) are characterized by sterile, neutrophilic, cutaneous infiltrates. Extracutenous neutrophilic infiltrations may also be seen, but pulmonary involvement is very rare and usually characterized by patchy infiltrates or interstitial pneumonitis. In this case, a PG case who had cutenous lesions and large cavitary lung nodules, is reported. He was a 49 years old male patient whose thorax computed tomography revealed multiple pulmonary nodules with central necrosis. In his transbronchial and bronchial biopsies, nonspecific inflammatory aseptic nodules were detected corresponded to the pathologic findings of skin lesion biopsies. A dramatic response was occured after applying corticosteroid and immunesupressive treatment. In conclusion, cavitary pulmonary nodules of our case were thought to be due to pulmonary involvement of PG.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

https://doi.org/10.29333/ejgm/82654

Eur J Gen Med, 2009 - Volume 6 Issue 2, pp. 131-135

Publication date: 15 Apr 2009

Article Views: 297

Article Downloads: 175

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