Nasal septum perforation in patient with pyoderma gangrenosum

Author:

Felix Felippe1,Paes Vania2,de Azevedo Julia3,Grangeiro Eliza4,Riccio Jonatah3,Rito Helen3,Maia Camilla5

Affiliation:

1. Master for the UFRJ. Doctor of the Department of Otolaryngology of the State Serving Hospital, Health department, Rio de Janeiro.

2. Medical Teacher of the Hospital of the State Server.

3. Resident Doctor (a) of Otolaryngology of the Hospital of the State Server, Health department, Rio de Janeiro.

4. Resident Doctor of Dermatology of the Hospital of the State Server, Health department, Rio de Janeiro.

5. Resident Doctor of Otolaryngology.

Abstract

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.

Publisher

Georg Thieme Verlag KG

Subject

Otorhinolaryngology

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