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Pyoderma gangrenosum in a six-month-old boy

Güldane Koturoğlu1, Fadil Vardar, Ferda Ozkinay

  • 1Department of Pediatrics, Ege University Faculty of Medicine, Izmir, Turkey.

Insights

Pyoderma gangrenosum (PG) is a rare skin condition. This report details the youngest infant diagnosed with PG associated with chronic recurrent multifocal osteomyelitis (CRMO).

Area of Science:

  • Dermatology
  • Pediatrics
  • Rheumatology

Background:

  • Pyoderma gangrenosum (PG) is a rare, chronic ulcerative skin condition.
  • It affects all age groups, with only 4% of cases in children.
  • PG is often associated with underlying systemic diseases like inflammatory bowel disease and arthritis.

Observation:

  • Chronic recurrent multifocal osteomyelitis (CRMO) is a rare condition in children.
  • PG has been documented with CRMO in a few pediatric cases, typically older than 18 months.
  • This report presents a six-month-old boy with CRMO and associated PG.

Findings:

  • The patient, a six-month-old boy, was diagnosed with CRMO.
  • He also presented with pyoderma gangrenosum.
  • This represents the youngest reported case of CRMO associated with PG.

Implications:

  • This case highlights that CRMO can present with PG in infants under 12 months.
  • It expands the known age range for this rare association.
  • Early recognition and diagnosis are crucial for managing this condition in young children.

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