生殖器坏疽性脓皮病的临床分析:附5例报告

Clinical analysis of genital pyoderma gangrenosum:report of five cases

目的探讨生殖器坏疽性脓皮病(PG)的临床特点及治疗方法。方法回顾性分析5例生殖器PG患者的临床资料。结果 5例患者全部为男性,均表现为局限于生殖器的典型溃疡,大小不一,边缘隆起潜行,中央坏死,伴明显疼痛。1例并发阴茎瘘管,1例并发睾丸外露。所有病例在抗感染、局部治疗的基础上使用糖皮质激素治疗,4例好转出院。结论生殖器PG主要表现为典型的皮肤溃疡,可出现严重并发症。糖皮质激素治疗效果良好,是首选治疗药物。

Objective To analyze the cilincial characters of genital pyoderma gangrenosum（PG）. Methods 5 cases of genital pyoderma gangrenosum from 2000 to 2013 were analyzed retrospectively. Results All the 5 cases were male, typically demonstrated with painful classic ulcers of variable sizes with raised and undermined edges, and a necrotic centre. 1 case was complicated with penile fistula and one case was complicated with testicular exposure. 4 cases got a good relieve with the use of corticosteroids,antibiotic and local treatment. Conclusion Genital PG are characterized by classic ulcers,sometimes leading to serious complications. Corticosteroids are the preferred medicine,have a good effect in most patients.