Crohn's disease of the penis masquerading as pyoderma gangrenosum: A case report and review of the literature
Both pyoderma gangrenosum (PG) and cutaneous (metastatic) Crohn's disease (CCD) may occur in the setting of inflammatory bowel disease (IBD). Clinical distinction between PG and CCD may be difficult because clinical and pathologic features often are similar. Although surgical debridement is the...
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Veröffentlicht in: | Cutis (New York, N.Y.) N.Y.), 2003-12, Vol.72 (6), p.432-437 |
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creator | SAMS, Hunter H KIRIPOLSKY, Monika G BOYD, Alan S KING, Lloyd E |
description | Both pyoderma gangrenosum (PG) and cutaneous (metastatic) Crohn's disease (CCD) may occur in the setting of inflammatory bowel disease (IBD). Clinical distinction between PG and CCD may be difficult because clinical and pathologic features often are similar. Although surgical debridement is therapeutic in CCD, it may lead to increased tissue loss and disease progression (pathergy) in PG. Thus, it is important to determine a definitive diagnosis before surgical debridement, especially in tissue-sensitive sites. We present a patient with chronic ulceration of the penis who ultimately was diagnosed with CCD following an initial misdiagnosis of PG. |
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Clinical distinction between PG and CCD may be difficult because clinical and pathologic features often are similar. Although surgical debridement is therapeutic in CCD, it may lead to increased tissue loss and disease progression (pathergy) in PG. Thus, it is important to determine a definitive diagnosis before surgical debridement, especially in tissue-sensitive sites. We present a patient with chronic ulceration of the penis who ultimately was diagnosed with CCD following an initial misdiagnosis of PG.</description><identifier>ISSN: 0011-4162</identifier><identifier>EISSN: 2326-6929</identifier><identifier>PMID: 14700212</identifier><identifier>CODEN: CUTIBC</identifier><language>eng</language><publisher>Chatham, NJ: Quadrant HealthCom</publisher><subject>Biological and medical sciences ; Crohn Disease - diagnosis ; Crohn Disease - pathology ; Dermatology ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Male ; Medical sciences ; Middle Aged ; Other diseases. Semiology ; Penile Diseases - diagnosis ; Penile Diseases - pathology ; Pyoderma Gangrenosum - diagnosis ; Skin involvement in other diseases. Miscellaneous. General aspects ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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Semiology</subject><subject>Penile Diseases - diagnosis</subject><subject>Penile Diseases - pathology</subject><subject>Pyoderma Gangrenosum - diagnosis</subject><subject>Skin involvement in other diseases. Miscellaneous. General aspects</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Penile Diseases - diagnosis</topic><topic>Penile Diseases - pathology</topic><topic>Pyoderma Gangrenosum - diagnosis</topic><topic>Skin involvement in other diseases. Miscellaneous. General aspects</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. 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subjects | Biological and medical sciences Crohn Disease - diagnosis Crohn Disease - pathology Dermatology Gastroenterology. Liver. Pancreas. Abdomen Humans Male Medical sciences Middle Aged Other diseases. Semiology Penile Diseases - diagnosis Penile Diseases - pathology Pyoderma Gangrenosum - diagnosis Skin involvement in other diseases. Miscellaneous. General aspects Stomach. Duodenum. Small intestine. Colon. Rectum. Anus |
title | Crohn's disease of the penis masquerading as pyoderma gangrenosum: A case report and review of the literature |
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