A case of peristomal pyoderma gangrenosum induced by post extirpation of bladder carcinoma followed by ileal conduit formation: Analysis of 107 cases

Akiko Yamada, Osamu Yamasaki, Chiyo Nomura, Keiji Iwatsuki

Research output: Contribution to journalArticle

Abstract

A 57-year-old man underwent total resection of bladder carcinoma, followed by ileal conduit formation on 1998. Six years later, a pustule appeared on the right side of the stoma, enlarged rapidly and became a pyodermic ulcer. Skin biopsy from the lesion revealed a massive inflammatory infiltrate mainly composed of neutrophils. No abnormalities were found in routine hematological or gastric intestinal examinations. Based on clinical and histological findings, we made the diagnosis of peristomal pyoderma gangrenosum (PPG). Topical application of diflucortolone valerate resulted in prompt improvement. Of 107 patients with PPG, 82 patients had inflammatory bowel disease, with 49 of these patients having Crohn's disease and 33 having ulcerative colitis. Other underlyng diseases included diverticulitis (8 cases), colon carcinoma (5 cases), bladder carcinoma (4 cases), neurological bladder (2 cases), colitis (2 cases), bowel perforation (1 case), volvulus (1 case), bowel abscess (1 case), and urethral valves (1 case).

Original languageEnglish
Pages (from-to)257-260
Number of pages4
JournalNishinihon Journal of Dermatology
Volume70
Issue number3
DOIs
Publication statusPublished - 2008

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Pyoderma Gangrenosum
Urinary Diversion
Urinary Bladder
Carcinoma
Intestinal Volvulus
Diverticulitis
Colitis
Ulcerative Colitis
Inflammatory Bowel Diseases
Crohn Disease
Abscess
Ulcer
Stomach
Colon
Neutrophils
Biopsy
Skin

ASJC Scopus subject areas

  • Dermatology

Cite this

A case of peristomal pyoderma gangrenosum induced by post extirpation of bladder carcinoma followed by ileal conduit formation : Analysis of 107 cases. / Yamada, Akiko; Yamasaki, Osamu; Nomura, Chiyo; Iwatsuki, Keiji.

In: Nishinihon Journal of Dermatology, Vol. 70, No. 3, 2008, p. 257-260.

Research output: Contribution to journalArticle

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