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Published on: February 9, 2011

[Pyoderma gangrenosum in an infant: Case report]

Camila Colombari Medeiros1, Milena Lacerda Colombari, Priscila Wolf Nassif

  • 1Faculty Uningá - Maringá (PR), Brazil.

Dermatology Online Journal
|August 7, 2012
PubMed

Insights

Pyoderma gangrenosum (PG) is a rare skin condition causing ulcers. This report details a successful prednisone treatment for a 9-month-old infant with PG, highlighting a rare pediatric case.

Area of Science:

  • Dermatology
  • Pediatrics

Background:

  • Pyoderma gangrenosum (PG) is a rare, ulcerative neutrophilic dermatosis with unknown causes.
  • Infantile PG is exceptionally rare, with only 13 cases reported globally in the last 25 years.

Observation:

  • A 9-month-old infant presented with ulcerative lesions on the right leg.
  • Cultures for bacterial, mycobacterial, and fungal infections were negative, ruling out common infectious etiologies.

Findings:

  • The infant was diagnosed with pyoderma gangrenosum.
  • Treatment with oral prednisone (1 mg/Kg/day) for 30 days resulted in complete healing of the ulcers.

Implications:

  • This case expands the limited literature on pediatric pyoderma gangrenosum.
  • Early diagnosis and systemic corticosteroid therapy can be effective in treating infantile PG.
  • Long-term follow-up is essential to monitor for recurrence or underlying conditions.

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