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Post-surgical Pyoderma Gangrenosum Reveals Celiac Disease in a Pediatric Patient
Zahidul Islam1,2, Daniel Alicea2, Nicole Schiraldi2,3
1Dermatology, New York Medical College, New York, USA.
This case report details a rare pediatric instance of pyoderma gangrenosum (PG) linked to undiagnosed celiac disease (CD). Early recognition of PG as a potential CD symptom is crucial for timely diagnosis and treatment.
Area of Science:
- Pediatric Dermatology
- Gastroenterology
- Immunodermatology
Background:
- Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis often linked to systemic conditions like inflammatory bowel disease.
- Celiac disease (CD), an immune-mediated enteropathy, is not typically associated with PG, especially in children.
Observation:
- A 13-year-old female presented with post-surgical PG after an epidermoid cyst excision.
- Clinical and histopathological findings confirmed PG, ruling out infection.
Findings:
- The patient was successfully treated with topical corticosteroids and wound care.
- Subsequent investigations revealed positive celiac serologies and duodenal biopsy results, confirming a new diagnosis of CD.
Implications:
- This case underscores the importance of considering CD in pediatric patients presenting with PG, even without typical gastrointestinal symptoms.
- Highlights the necessity of a multidisciplinary approach for prompt diagnosis and management of this rare association.
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