Nasal septum perforation in patient with pyoderma gangrenosum

• Main Authors: Maia, Camilla Bezerra da Cruz, Felix, Felippe, Paes, Vania, Azevedo, Julia Alves de, Grangeiro, Eliza Raquel Negrão, Riccio, Jonatah Lucas N., Rito, Helen Cruz
• Format: Article
• Language: English
• Published: Thieme Revinter Publicações Ltda. 2012-01-01
• Series: International Archives of Otorhinolaryngology
• Subjects: pyoderma gangrenosum; nasal septum; diagnosis
• Online Access: http://www.internationalarchivesent.org/additional/acervo_eng.asp?id=862

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.