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[Pyoderma gangrenosum revealing colonic diverticulitis: Two cases].
J Fongue1, D Brajon1, C Visée2
1Service de dermatologie, CHU hôpital Nord, chemin des Bourrely, 13015 Marseille, France.
Pyoderma gangrenosum (PG) can be associated with colonic diverticulitis infection (DI). Surgical removal of diverticulitis successfully treated PG in two patients, suggesting a link between colonic inflammation and skin lesions.
Area of Science:
- Dermatology
- Gastroenterology
- Immunology
Background:
- The association between pyoderma gangrenosum (PG) and colonic diverticulitis infection (DI) is not well-established.
- This report details two cases of PG that resolved after surgical intervention for DI.
Observation:
- Two patients with PG and DI underwent sigmoidectomy.
- One patient was an 83-year-old male with leg lesions and DI with abscesses.
- The second patient was a 63-year-old female with severe PG, abdominal pain, and perforated sigmoid DI.
Findings:
- Both patients experienced complete resolution of PG after sigmoidectomy.
- PG healed without the need for corticosteroids or other immunosuppressants post-surgery.
- Histological confirmation of PG and CT scans revealing DI were crucial for diagnosis.
Implications:
- Colonic diverticulitis infection (DI) should be considered a potential systemic disease associated with PG.
- Abdominal CT scans may detect asymptomatic DI in patients presenting with isolated PG.
- Early diagnosis and surgical intervention for DI can lead to PG remission and prevent severe gastrointestinal complications.
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