A case of pyoderma gangrenosum with ulcerative colitis treated with combined approach: Infliximab and surgery G. Andrisani, L. Guidi, A. Papa, A.E. Potenza,

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Presentation transcript:

A case of pyoderma gangrenosum with ulcerative colitis treated with combined approach: Infliximab and surgery G. Andrisani, L. Guidi, A. Papa, A.E. Potenza, D. Cervelli, A. Armuzzi Journal of Crohn's and Colitis Volume 7, Issue 5, Pages 421-426 (June 2013) DOI: 10.1016/j.crohns.2012.07.021 Copyright © 2012 European Crohn's and Colitis Organisation Terms and Conditions

Figure 1 An ulcer 10cm×6cm in diameter on the lower half of the left breast, with a violaceous undetermined border and a necrotic ground covered with purulent exudate. Journal of Crohn's and Colitis 2013 7, 421-426DOI: (10.1016/j.crohns.2012.07.021) Copyright © 2012 European Crohn's and Colitis Organisation Terms and Conditions

Figure 2 The mucosa of transverse colon with superficial ulcers, loss of vascular pattern and friability. Journal of Crohn's and Colitis 2013 7, 421-426DOI: (10.1016/j.crohns.2012.07.021) Copyright © 2012 European Crohn's and Colitis Organisation Terms and Conditions

Figure 3 Split thickness skin graft. A) The graft from the left thigh. B) The graft spread on the bare area with sutures to hold the graft in place. Journal of Crohn's and Colitis 2013 7, 421-426DOI: (10.1016/j.crohns.2012.07.021) Copyright © 2012 European Crohn's and Colitis Organisation Terms and Conditions

Figure 4 Complete healing with scarring after 6month of combined treatment. Journal of Crohn's and Colitis 2013 7, 421-426DOI: (10.1016/j.crohns.2012.07.021) Copyright © 2012 European Crohn's and Colitis Organisation Terms and Conditions

Figure 5 Mucosal healing with rare pseudopolyps after one-year of infliximab therapy. Journal of Crohn's and Colitis 2013 7, 421-426DOI: (10.1016/j.crohns.2012.07.021) Copyright © 2012 European Crohn's and Colitis Organisation Terms and Conditions