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Int Arch Otorhinolaryngol 2012; 16(02): 278-281
DOI: 10.7162/S1809-97772012000200018
Case Report
Thieme Publicações Ltda Rio de Janeiro, Brazil

Nasal septum perforation in patient with pyoderma gangrenosum

Perfuração de septo nasal em paciente com pioderma gangrenoso
Camilla Bezerra da Cruz Maia
1   Resident Doctor of Otolaryngology.
,
Felippe Felix
2   Master for the UFRJ. Doctor of the Department of Otolaryngology of the State Serving Hospital, Health department, Rio de Janeiro.
,
Vania Paes
3   Medical Teacher of the Hospital of the State Server.
,
Julia Alves de Azevedo
4   Resident Doctor (a) of Otolaryngology of the Hospital of the State Server, Health department, Rio de Janeiro.
,
Eliza Raquel Negrão Grangeiro
5   Resident Doctor of Dermatology of the Hospital of the State Server, Health department, Rio de Janeiro.
,
Jonatah Lucas N. Riccio
4   Resident Doctor (a) of Otolaryngology of the Hospital of the State Server, Health department, Rio de Janeiro.
,
Helen Cruz Rito
4   Resident Doctor (a) of Otolaryngology of the Hospital of the State Server, Health department, Rio de Janeiro.
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Publikationsverlauf

03. Februar 2010

29. Oktober 2010

Publikationsdatum:
05. Dezember 2013 (online)

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Summary

Introduction: The cocaine is obtained from the leaves of the coca (Erythroxylon coca). It can be used in many ways, but the most common is the drug inhalation. The Cocaine also causes vasoconstriction at nasal mucous membrane and its chronic use can cause necrosis and nasal septum perforation. Pyoderma gangrenosum is an uncommon idiopathic disease characterized by ulcerations, usually observed on the legs. Its diagnosis is most common an exclusion of others diseases. So far, there is no specific treatment based on evidence by randomized controlled trials.

Objective: Describe the rare association between Pyoderma gangrenosum and cocaine.

Case Report: E. A., 27-year-old woman with destruction of nasal septum and palate who has been using a big amount of cocaine, been necessary note the difference from which disease cause de damage.

Final Comments: Also there are only three cases of Pyoderma gangrenosum complicated with nasal septum perforation in cocaine users.

Resumo

Introdução: A cocaína é extraída das folhas do arbusto da coca (Erythroxylon coca), podendo ser consumida de várias formas, mas o modo mais comum é pela aspiração da droga, sendo absorvida pela mucosa nasal, causando vasoconstricção, levando o seu uso crônico à perfuração de septo nasal. Pioderma gangrenoso é uma doença inflamatória rara, idiopática que se caracteriza pela presença de úlceras destrutivas principalmente em membros inferiores. Seu diagnóstico clínico é muitas vezes de exclusão.

Objetivo: Descrever a raridade de associação entre Pioderma Gangrenoso e cocaína.

Relato de Caso: E. A., 27 anos, com apresentação atípica de Pioderma Gangrenoso com perfurações de septo nasal e palato duro usuária de grande quantidade de cocaína, sendo necessário diferenciar qual patologia causou esse dano.

Comentários Finais: Além da necessidade dessa diferenciação, apenas existem três casos relatados na literatura, envolvendo o Pioderma Gangrenoso complicado com perfuração de septo nasal em usuários de cocaína.

Keywords

pyoderma gangrenosum - nasal septum - diagnosis

Palavras-chave

Pioderma Gangrenoso - Septo Nasal - Diagnóstico
 

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