Successful therapy of refractory pyoderma gangrenosum and periorbital phlegmona with tacrolimus (FK506) in ulcerative colitis

被引:23
作者
Baumgart, DC [1 ]
Wiedenmann, B [1 ]
Dignass, AU [1 ]
机构
[1] Humboldt Univ, Sch Med, Charite Med Ctr,Univ Hosp Rudolf Virchow, Dept Med,Div Hepatol & Gastroenterol, D-13344 Berlin, Germany
关键词
IBD; tacrolimus; FK506; immunosuppressants; extraintestinal manifestations;
D O I
10.1097/00054725-200407000-00014
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We describe two male patients with ulcerative colitis and refractory pyoderma gangrenosum including periorbital phlegmona in one case. Both patients were successfully managed with low dose oral tacrolimus (0.1 mg/kg bodyweight per day). Serum trough levels were closely monitored and maintained between 4 and 6 ng/mL. A rapid response was noted in both cases. Complete non-scarring skin restitution without side effects was accomplished in both cases. Low dose oral tacrolimus provides a valuable alternative treatment option for IBD patients with refractory pyoderma gangrenosum.
引用
收藏
页码:421 / 424
页数:4
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