Vegetative pyoderma gangrenosum

Authors

  • Ramón Fernández Bussy National University of Rosario, Rosario, Argentina
  • Sebastián Mercau Centennial Hospital of Rosario, Rosario, Argentina
  • Silvina Cidone National University of Rosario, Santa Fe, Argentina
  • Mario Gorosito Centennial Hospital of Rosario, Rosario, Argentina
  • Ramón A. Fernández Bussy National University of Rosario, Santa Fe, Argentina

Keywords:

vegetative pyoderma, yoderma gangrenosum

Abstract

Vegetative pyoderma gangrenosum is a rare variety of pyoderma gangrenosum. Usually manifests as a painless superficial ulcer and slow growth in the trunk. The association with underlying systemic disease is not common. Treatments for vegetative pyoderma gangrenosum include systemic and topical glucocorticoids, minocycline or doxycycline, dapsone, colchicine, and, rarely, alternative steroid-sparing immunosuppressants. We present a case of multiple vegetative pyoderma gangrenosum lesions with good response to glucocorticoids and minocycline.

Author Biographies

Ramón Fernández Bussy, National University of Rosario, Rosario, Argentina

Head of Practical Work, Chair of Dermatology

Sebastián Mercau, Centennial Hospital of Rosario, Rosario, Argentina

Physician of the Dermatology Service

Silvina Cidone, National University of Rosario, Santa Fe, Argentina

Physician of the University Career of Specialist in Dermatology

Mario Gorosito, Centennial Hospital of Rosario, Rosario, Argentina

Medical Pathologist, Dermatology Service

Ramón A. Fernández Bussy, National University of Rosario, Santa Fe, Argentina

Professor of the Chair of Dermatology. Head of the Dermatology Service of the Centennial Hospital of Rosario.

References

I. Pizzariello G, Olivares L, Lois M, Anaya J, et ál. Pioderma gan-grenoso vegetante. Presentación de 7 casos. Dermatol Argent2012;18:383-388.

II. Kim RH, Lewin J, Hale CS, Meehan SA, et ál. Vegetative pyo-derma gangrenosum. Dermatol Online J 2014;16;20:1-3.

III. Langan SM, Powell FC. Vegetative pyoderma gangrenosum: a report of two new cases and a review of the literature. Int J Dermatol 2005;44:623-629.

IV. Wilson-Jones E, Winkelmann RK. Superficial granulomatous pyoderma: a localized vegetative form of pyoderma gangre-nosum. J Am Acad Dermatol 1988;18:511-521.

V. Molodoi AD, Dimitriu A, Andronic CD, Stoleriu G, et ál. Pyo-derma vegetans developed on chronic leg ulcer. Rev Med Chir Soc Med Nat Iasi 2015;119:107-111.

VI. Mansouri M, Rakhshan A, Shahidi-Dadras M, Karimi A, et ál. Pyoderma vegetans: a case report in a child suspected to primary immunodeficiency and review of the literature. Iran J Med Sci 2015;40:381-385.

VII. Su WP, Davis, Weenig RH, Powell FC, et ál. Pyoderma gangre-nosum: clinicopathologic correlation and proposed diagnos-tic criteria. Int J Dermatol 2004;43:790-800.

VIII. Meşină C, Vasile I, Mogoantă SŞ, Ciurea ME, et ál. Pyoderma vegetans of the posterior area of the neck: case presentation. Rom J Morphol Embryol 2015;56:563-568.

IX. Vahedi H, Nozari N, Sotoudeh M. Report of a rare case of nasal mucosa pyoderma vegetans in a patient with ulcerative coli-tis. Middle East J Dig Dis 2015;104-106.

X. Kambil SM, Bhat RM, Dandekeri S. Granulomatous pyoderma gangrenosum of the genitalia in the absence of Crohn’s di-sease. Indian J Sex Transm Dis 2015;36:67-69.

Published

2017-09-01

Issue

Section

Clinical Cases