{"id":6499,"date":"2007-12-14T13:16:00","date_gmt":"2007-12-14T13:16:00","guid":{"rendered":"https:\/\/www.adacyte.com\/?post_type=scientific-corner&#038;p=6499"},"modified":"2021-12-14T13:18:49","modified_gmt":"2021-12-14T13:18:49","slug":"a-case-report-of-steroid-and-immunosuppressant-resistant-pyoderma-gangrenosum-successfully-treated-by-granulocytapheresis-2","status":"publish","type":"scientific-corner","link":"https:\/\/www.adacyte.com\/fr\/professional\/scientific-corner\/a-case-report-of-steroid-and-immunosuppressant-resistant-pyoderma-gangrenosum-successfully-treated-by-granulocytapheresis-2\/","title":{"rendered":"A Case Report of Steroid and Immunosuppressant-resistant Pyoderma Gangrenosum Successfully Treated by Granulocytapheresis"},"content":{"rendered":"<div class=\"post-content max-w-987 mx-auto px-20 lg:px-0\">\n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/action\/doSearch?ContribAuthorRaw=Okuma%2C+Keiko\">Keiko Okuma<\/a>,<a href=\"https:\/\/onlinelibrary.wiley.com\/action\/doSearch?ContribAuthorRaw=Mitsuishi%2C+Kouichi\">Kouichi Mitsuishi<\/a>,<a href=\"https:\/\/onlinelibrary.wiley.com\/action\/doSearch?ContribAuthorRaw=Hasegawa%2C+Toshio\">Toshio Hasegawa<\/a>,<a href=\"https:\/\/onlinelibrary.wiley.com\/action\/doSearch?ContribAuthorRaw=Tsuchihashi%2C+Hitoshi\">Hitoshi Tsuchihashi<\/a>,<a href=\"https:\/\/onlinelibrary.wiley.com\/action\/doSearch?ContribAuthorRaw=Ogawa%2C+Hideoki\">Hideoki Ogawa<\/a>,<a href=\"https:\/\/onlinelibrary.wiley.com\/action\/doSearch?ContribAuthorRaw=Ikeda%2C+Shigaku\">Shigaku Ikeda<\/a>, <\/p>\n<\/div>\n\n<div class=\"post-content max-w-987 mx-auto px-20 lg:px-0\">\n<p><a href=\"https:\/\/doi.org\/10.1111\/j.1744-9987.2007.00498.x\">https:\/\/doi.org\/10.1111\/j.1744-9987.2007.00498.x<\/a><\/p>\n<\/div>\n\n<div class=\"post-content max-w-987 mx-auto px-20 lg:px-0\">\n<p><strong>Abstract:\u00a0<\/strong>Granulocytapheresis (GCAP) therapy is a newly developed therapeutic modality for inflammatory bowel diseases such as ulcerative colitis and Crohn&rsquo;s disease. Pyoderma gangrenosum (PG) is a chronic inflammatory skin disease characterized by the appearance of erythematous macules and plaques with pustules or nodules that rapidly progress to ragged, undermined multiple ulcers. We attempted GCAP therapy in a patient with PG resistant to prednisolone and various other immunosuppressants. GCAP therapy was initiated at three- to four-day intervals and a good response from all skin lesions, with eventual total epithelialization, was observed after 10 sessions of this therapy. Furthermore, circulating levels of inflammatory cytokines such as interleukin-8 (IL-8) and granulocyte colony stimulating factor (G-CSF) also decreased after the GCAP therapy. Our results suggest that GCAP is a safe and useful tool for the treatment of intractable PG, and that IL-8 and G-CSF are likely to be involved in the pathogenesis of PG.<\/p>\n<\/div>\n\n<div class=\"post-content max-w-987 mx-auto px-20 lg:px-0\">\n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1744-9987.2007.00498.x\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1744-9987.2007.00498.x<\/a><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Keiko Okuma,Kouichi Mitsuishi,Toshio Hasegawa,Hitoshi Tsuchihashi,Hideoki Ogawa,Shigaku Ikeda, https:\/\/doi.org\/10.1111\/j.1744-9987.2007.00498.x Abstract:\u00a0Granulocytapheresis (GCAP) therapy is a newly developed therapeutic modality for inflammatory bowel diseases such as ulcerative colitis and Crohn&rsquo;s disease. Pyoderma gangrenosum (PG) is a chronic inflammatory skin disease characterized by the appearance of erythematous macules and plaques with pustules or nodules that rapidly progress to ragged, [&hellip;]<\/p>\n","protected":false},"template":"","scientific_tags":[424,385,212,47,115,280],"class_list":["post-6499","scientific-corner","type-scientific-corner","status-publish","hentry","scientific_tags-gma","scientific_tags-granulocytapheresis","scientific_tags-immunosuppressant-resistant","scientific_tags-prednisolone","scientific_tags-pyoderma-gangrenosum","scientific_tags-steroids"],"acf":{"sc_authors":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A Case Report of Steroid and Immunosuppressant-resistant Pyoderma Gangrenosum Successfully Treated by Granulocytapheresis - Adacyte<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.adacyte.com\/professional\/scientific-corner\/a-case-report-of-steroid-and-immunosuppressant-resistant-pyoderma-gangrenosum-successfully-treated-by-granulocytapheresis-2\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Case Report of Steroid and Immunosuppressant-resistant Pyoderma Gangrenosum Successfully Treated by Granulocytapheresis - Adacyte\" \/>\n<meta property=\"og:description\" content=\"Keiko Okuma,Kouichi Mitsuishi,Toshio Hasegawa,Hitoshi Tsuchihashi,Hideoki Ogawa,Shigaku Ikeda, https:\/\/doi.org\/10.1111\/j.1744-9987.2007.00498.x Abstract:\u00a0Granulocytapheresis (GCAP) therapy is a newly developed therapeutic modality for inflammatory bowel diseases such as ulcerative colitis and Crohn&rsquo;s disease. Pyoderma gangrenosum (PG) is a chronic inflammatory skin disease characterized by the appearance of erythematous macules and plaques with pustules or nodules that rapidly progress to ragged, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.adacyte.com\/professional\/scientific-corner\/a-case-report-of-steroid-and-immunosuppressant-resistant-pyoderma-gangrenosum-successfully-treated-by-granulocytapheresis-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Adacyte\" \/>\n<meta property=\"article:modified_time\" content=\"2021-12-14T13:18:49+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.adacyte.com\/professional\/scientific-corner\/a-case-report-of-steroid-and-immunosuppressant-resistant-pyoderma-gangrenosum-successfully-treated-by-granulocytapheresis-2\/\",\"url\":\"https:\/\/www.adacyte.com\/professional\/scientific-corner\/a-case-report-of-steroid-and-immunosuppressant-resistant-pyoderma-gangrenosum-successfully-treated-by-granulocytapheresis-2\/\",\"name\":\"A Case Report of Steroid and Immunosuppressant-resistant Pyoderma Gangrenosum Successfully Treated by Granulocytapheresis - Adacyte\",\"isPartOf\":{\"@id\":\"https:\/\/www.adacyte.com\/#website\"},\"datePublished\":\"2007-12-14T13:16:00+00:00\",\"dateModified\":\"2021-12-14T13:18:49+00:00\",\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.adacyte.com\/professional\/scientific-corner\/a-case-report-of-steroid-and-immunosuppressant-resistant-pyoderma-gangrenosum-successfully-treated-by-granulocytapheresis-2\/\"]}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.adacyte.com\/#website\",\"url\":\"https:\/\/www.adacyte.com\/\",\"name\":\"Adacyte\",\"description\":\"Adacyte Therapeutics\",\"publisher\":{\"@id\":\"https:\/\/www.adacyte.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.adacyte.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.adacyte.com\/#organization\",\"name\":\"Adacyte\",\"url\":\"https:\/\/www.adacyte.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/www.adacyte.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.adacyte.com\/wp-content\/uploads\/2021\/01\/logo-adacyte.svg\",\"contentUrl\":\"https:\/\/www.adacyte.com\/wp-content\/uploads\/2021\/01\/logo-adacyte.svg\",\"width\":165,\"height\":46,\"caption\":\"Adacyte\"},\"image\":{\"@id\":\"https:\/\/www.adacyte.com\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"A Case Report of Steroid and Immunosuppressant-resistant Pyoderma Gangrenosum Successfully Treated by Granulocytapheresis - Adacyte","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.adacyte.com\/professional\/scientific-corner\/a-case-report-of-steroid-and-immunosuppressant-resistant-pyoderma-gangrenosum-successfully-treated-by-granulocytapheresis-2\/","og_locale":"fr_FR","og_type":"article","og_title":"A Case Report of Steroid and Immunosuppressant-resistant Pyoderma Gangrenosum Successfully Treated by Granulocytapheresis - Adacyte","og_description":"Keiko Okuma,Kouichi Mitsuishi,Toshio Hasegawa,Hitoshi Tsuchihashi,Hideoki Ogawa,Shigaku Ikeda, https:\/\/doi.org\/10.1111\/j.1744-9987.2007.00498.x Abstract:\u00a0Granulocytapheresis (GCAP) therapy is a newly developed therapeutic modality for inflammatory bowel diseases such as ulcerative colitis and Crohn&rsquo;s disease. 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