Multilocular pyoderma gangrenosum Association with primary manifestation of primary biliary cholangitis

Koegel, Julian and Berneburg, Mark and Karrer, Sigrid and Drexler, Konstantin and Niebel, Dennis (2023) Multilocular pyoderma gangrenosum Association with primary manifestation of primary biliary cholangitis. DERMATOLOGIE, 74. pp. 538-542. ISSN 2731-7005, 2731-7013

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Abstract

A 16-year-old female patient with previously diagnosed acne vulgaris was transferred to our clinic in reduced general condition with rapidly progressive and extremely painful ulcerations. In the laboratory exam, inflammatory parameters were highly elevated, but she was normothermic. Based on the findings, we diagnosed multilocular pyoderma gangrenosum. Further investigations established the diagnosis of primary biliary cholangitis as the underlying condition. Treatment with systemic corticosteroids was initiated and we started therapy with ursodeoxycholic acid. This led to improvement within a few days. PAPA-syndrome (pyogenic arthritis, pyoderma gangrenosum and acne vulgaris) could be ruled out by genetic analysis.

Item Type: Article
Uncontrolled Keywords: Sweet's syndrome; Neutrophilic dermatosis; Primary biliary cholangitis; PAPA syndrome; Ulceration
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Dermatologie und Venerologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 05 Mar 2024 07:52
Last Modified: 05 Mar 2024 07:52
URI: https://pred.uni-regensburg.de/id/eprint/59260

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