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Disfiguring facial pyoderma vegetans with an excellent outcome
James Keitley1, Liezel Griffin1,2, Luisa Motta2
1Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
BMJ Case Reports
|October 15, 2017
Summary
This case study details managing pyoderma vegetans, a rare facial skin condition. Immunosuppressive therapy with ciclosporin and CO2 laser treatment led to excellent cosmetic results.
Area of Science:
- Dermatology
- Immunodermatology
Background:
- Pyoderma vegetans is a rare, chronic skin disease characterized by pustules and vegetating plaques.
- Management can be challenging due to its rarity and potential for disfigurement.
Observation:
- A 54-year-old woman presented with a rapidly enlarging facial lesion, initially misdiagnosed as an infected cyst.
- The patient had a history of Crohn's disease and ileal adenocarcinoma.
Findings:
- A clinical diagnosis of pyoderma vegetans was established.
- The patient showed significant improvement with oral ciclosporin, an immunosuppressive therapy.
- Carbon dioxide (CO2) laser resurfacing addressed residual scarring, improving the cosmetic outcome.
Implications:
- This case highlights effective therapeutic strategies for pyoderma vegetans.
- Early diagnosis and appropriate immunosuppressive treatment are crucial for managing this condition.
- Multimodal treatment, including laser therapy, can optimize cosmetic results in patients with facial pyoderma vegetans.