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Infantile pyoderma gangrenosum
Maeve A McAleer1, Frank C Powell, Deirdre Devaney
1Regional Centre of Dermatology, Mater Misericordiae University Hospital, Dublin, Ireland. maeve_mc_aleer@hotmail.com
Insights
Pyoderma gangrenosum (PG) is rare in infants. This case highlights cyclosporine as a vital treatment for aggressive infantile PG unresponsive to steroids.
Area of Science:
- Dermatology
- Pediatrics
Background:
- Pyoderma gangrenosum (PG) is a rare, ulcerative neutrophilic dermatosis.
- Infantile PG is exceptionally uncommon, with limited documented cases.
Observation:
- An 8-month-old infant presented with aggressive PG.
- The infant's condition was refractory to systemic corticosteroid therapy.
Findings:
- Successful healing was achieved with adjuvant cyclosporine treatment.
- Review of 12 reported infantile PG cases shows variable steroid responsiveness.
Implications:
- Cyclosporine offers a potential therapeutic option for severe infantile PG.
- Further research into optimal infantile PG management is warranted.
Abstract:
Pyoderma gangrenosum (PG) is rare in infants. There have been 12 cases of PG in infants (<12 months old) reported in the past 25 years, to our knowledge. Six of these cases have been successfully controlled with systemic steroids, and one case with topical steroids alone. We report a case of an 8-month-old infant whose PG was aggressive and unresponsive to systemic steroids. Adjuvant treatment with cyclosporine was required to achieve healing. We review the previous cases of infantile PG and the therapeutic options in this age group.
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