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Peritonsillar Involvement in Pyoderma Gangrenosum associated with Ulcerative Colitis

机译:腹膜炎累及溃疡性结肠炎的坏疽脓皮病

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Peritonsillar abscess is a common deep throat infection. Early diagnosis and prompt, appropriate management of a peritonsillar abscess prevents mortality. A 45-year-old woman on steroids for an ulcerative colitis (UC) exacerbation presented with sore throat and multiple skin ulcers on her left forearm and right foot. Computed tomography of the neck revealed a peritonsillar abscess. Gram staining and culture of the abscess were negative, and a skin biopsy suggested pyoderma gangrenosum (PG). The final diagnosis was peritonsillar involvement of steroid-refractory PG-associated UC. The patient showed a complete response to infliximab. Here, we report a case of successful infliximab treatment for peritonsillar involvement of steroid-refractory PG-associated UC.
机译:腹膜周围脓肿是常见的深喉感染。早期诊断和及时,妥善处理扁桃体周围脓肿可防止死亡。一名使用类固醇治疗溃疡性结肠炎(UC)恶化的45岁女性,她的左前臂和右脚出现喉咙痛和多处皮肤溃疡。颈部计算机断层扫描显示扁桃体周围脓肿。革兰氏染色和脓肿培养均为阴性,皮肤活检提示坏疽性脓皮病(PG)。最终诊断为类固醇难治性PG相关性UC的扁桃体累及。该患者对英夫利昔单抗表现出完全反应。在这里,我们报告了一个成功的英夫利昔单抗治疗的类固醇难治性PG相关性UC的扁桃体累及。

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