International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

   
Case Report
 
Childhood pyoderma gangrenosum: A case report
Pauline Dioussé 1,3, Ndiaga Gueye1, Mariama Bammo1, Thierno Abdou Aziz2, Haby Dione3, Amadou Mactar Gueye2, Fatou Seck3, Mame Thierno Dieng4, Bernard Marcel Diop3, Mamadou Moustapha Ka3
1MD, Department of Dermatology, regional hospital BP 34A, Thiès Senegal.
2MD, Department of Pediatrics, regional hospital BP 34A, Thiès Senegal.
3MD, University of Thiès department of Health Sciences, Senegal.
4MD, Professor, Department of Dermatology, Cheikh Anta Diop University, Dakar, Senegal.

Article ID: Z01201603CR10615PD
doi:10.5348/ijcri-201628-CR-10615

Address correspondence to:
Pauline Dioussé
MD, Assistant professor, Department of Dermatology
Regional Hospital, Thiès
Senegal, BP 34 A Thiès

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How to cite this article
Dioussé P, Gueye N, Bammo M, Aziz TA, Dione H, Gueye AM, Seck F, Dieng MT, Diop BM, Ka MM. Childhood pyoderma gangrenosum: A case report. Int J Case Rep Images 2016;7(3):170–174.


Abstract
Introduction: Pyoderma gangrenosum is a rare neutrophilic dermatosis in childhood, of unknown etiology, characterized by ulcerations.
Case Report: We report a case of a boy of 5 years, hospitalized for extensive phagedenic ulcers with a characteristic centrifugal extension for 30 months. The parents had consulted several health institutions without success. The lesions were localized on the left lower limb, to the medial aspect of the right leg and the right clavicular hollow. There was ankyloses of the right knee. The hemogram showed severe anemia. Bacteriological, mycological, viral samples were negative. Histology showed a rich infiltrate of polymorphonuclear neutrophils. No other underlying pathology was identified. The child was treated with prednisone 1 mg/kg/day in digressive manner over a period of two months with a full recovery at the end of this period. He received a blood transfusion and orthopedic surgery of his right knee, followed by rehabilitation sessions. The evolution was good leaving unsightly scars from the ulcers and a recovery of walking.
Conclusion: The peculiarity of this case lies in the extensiveness of the lesions, the intensity of the anemia and the diagnostic difficulties due to the large and chronic cutaneous ulcerations of the child in Africa. This results in delay of diagnosis and threatens functionality in life.

Keywords: Anemia, Child, Diagnosis, Pyoderma gangrenosum, Senegal


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Author Contributions
Pauline Dioussé – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ndiaga Gueye – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mariama Bammo – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Thierno Abdou Aziz Diallo – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Haby Dione – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Amadou Mactar gueye – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Fatou Seck – Group 1 - analysis and interpretation of data, Group 2 - revising it critically for important intellectual content, Group 3 - final approval of the version to be published
Mame Thierno Dieng – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Bernard Marcel Diop – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mamadou Moustapha Ka – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Pauline Dioussé et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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