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Cutaneous Wegener's granulomatosis (malignant pyoderma) in a patient with Crohn's disease
Sharon E Jacob1, Lucy K Martin, Francisco A Kerdel
1Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Miami, FL, USA.
Abstract:
We report a case of an unusual presentation of Wegener's granulomatosis (WG) in a patient with Crohn's disease (CD). She presented to our Wound Care Center with 7th cranial nerve palsy and facial pyoderma-like ulcerations. Although WG has a predilection for the lung, kidney, and eyes, cutaneous involvement can be seen in 50% of the cases, and it can be the presenting sign in 9-14%. Because of the lethality of WG if not properly treated, the diagnosis is imperative.
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