Pyoderma Gangrenosum‐like Lesions in Leukocyte Adhesion Deficiency I Treated with Intravenous Immunoglobulin

:  A 31‐year‐old Caucasian male with leukocyte adhesion deficiency I and a 20‐year history of recurrent, painful cutaneous ulcerations on the extremities presented with fatigue and worsening pain in both legs. He had experienced minimal improvement in his leg ulcers from treatment with systemic ster...

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Veröffentlicht in:Pediatric dermatology 2011-03, Vol.28 (2), p.156-161
Hauptverfasser: Nord, Kristin M., Pappert, Amy S., Grossman, Marc E.
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container_title Pediatric dermatology
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creator Nord, Kristin M.
Pappert, Amy S.
Grossman, Marc E.
description :  A 31‐year‐old Caucasian male with leukocyte adhesion deficiency I and a 20‐year history of recurrent, painful cutaneous ulcerations on the extremities presented with fatigue and worsening pain in both legs. He had experienced minimal improvement in his leg ulcers from treatment with systemic steroids, numerous courses of systemic antibiotics, and brief trials of infliximab and mycophenolate mofetil. He was treated with monthly intravenous immunoglobulin infusions. Upon completion of six courses of intravenous immunoglobulin his ulcerations had nearly healed for the first time in a decade.
doi_str_mv 10.1111/j.1525-1470.2010.01123.x
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He had experienced minimal improvement in his leg ulcers from treatment with systemic steroids, numerous courses of systemic antibiotics, and brief trials of infliximab and mycophenolate mofetil. He was treated with monthly intravenous immunoglobulin infusions. Upon completion of six courses of intravenous immunoglobulin his ulcerations had nearly healed for the first time in a decade.</description><identifier>ISSN: 0736-8046</identifier><identifier>EISSN: 1525-1470</identifier><identifier>DOI: 10.1111/j.1525-1470.2010.01123.x</identifier><identifier>PMID: 21366684</identifier><identifier>CODEN: PEDRDQ</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Biological and medical sciences ; Dermatology ; Hematologic and hematopoietic diseases ; Humans ; Immunodeficiencies ; Immunodeficiencies. 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Immunoglobulinopathies</subject><subject>Immunoglobulins, Intravenous - administration &amp; dosage</subject><subject>Immunopathology</subject><subject>Leukocyte-Adhesion Deficiency Syndrome - immunology</subject><subject>Leukocyte-Adhesion Deficiency Syndrome - pathology</subject><subject>Leukocyte-Adhesion Deficiency Syndrome - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Other diseases. Hematologic involvement in other diseases</subject><subject>Pyoderma Gangrenosum - immunology</subject><subject>Pyoderma Gangrenosum - pathology</subject><subject>Pyoderma Gangrenosum - therapy</subject><subject>Skin involvement in other diseases. Miscellaneous. 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Immunoglobulinopathies</topic><topic>Immunoglobulins, Intravenous - administration &amp; dosage</topic><topic>Immunopathology</topic><topic>Leukocyte-Adhesion Deficiency Syndrome - immunology</topic><topic>Leukocyte-Adhesion Deficiency Syndrome - pathology</topic><topic>Leukocyte-Adhesion Deficiency Syndrome - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Other diseases. Hematologic involvement in other diseases</topic><topic>Pyoderma Gangrenosum - immunology</topic><topic>Pyoderma Gangrenosum - pathology</topic><topic>Pyoderma Gangrenosum - therapy</topic><topic>Skin involvement in other diseases. Miscellaneous. General aspects</topic><topic>Skin Ulcer - immunology</topic><topic>Skin Ulcer - pathology</topic><topic>Skin Ulcer - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nord, Kristin M.</creatorcontrib><creatorcontrib>Pappert, Amy S.</creatorcontrib><creatorcontrib>Grossman, Marc E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nord, Kristin M.</au><au>Pappert, Amy S.</au><au>Grossman, Marc E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pyoderma Gangrenosum‐like Lesions in Leukocyte Adhesion Deficiency I Treated with Intravenous Immunoglobulin</atitle><jtitle>Pediatric dermatology</jtitle><addtitle>Pediatr Dermatol</addtitle><date>2011-03</date><risdate>2011</risdate><volume>28</volume><issue>2</issue><spage>156</spage><epage>161</epage><pages>156-161</pages><issn>0736-8046</issn><eissn>1525-1470</eissn><coden>PEDRDQ</coden><abstract>:  A 31‐year‐old Caucasian male with leukocyte adhesion deficiency I and a 20‐year history of recurrent, painful cutaneous ulcerations on the extremities presented with fatigue and worsening pain in both legs. 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subjects Adult
Biological and medical sciences
Dermatology
Hematologic and hematopoietic diseases
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunoglobulins, Intravenous - administration & dosage
Immunopathology
Leukocyte-Adhesion Deficiency Syndrome - immunology
Leukocyte-Adhesion Deficiency Syndrome - pathology
Leukocyte-Adhesion Deficiency Syndrome - therapy
Male
Medical sciences
Other diseases. Hematologic involvement in other diseases
Pyoderma Gangrenosum - immunology
Pyoderma Gangrenosum - pathology
Pyoderma Gangrenosum - therapy
Skin involvement in other diseases. Miscellaneous. General aspects
Skin Ulcer - immunology
Skin Ulcer - pathology
Skin Ulcer - therapy
title Pyoderma Gangrenosum‐like Lesions in Leukocyte Adhesion Deficiency I Treated with Intravenous Immunoglobulin
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