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Pyodermatitis-pyostomatitis vegetans: a case report and systematic review focusing on oral involvement
Bruno Ramos Chrcanovic1, Roberta Rayra Martins-Chaves2, Flávia Sirotheau Correa Pontes3
1Department of Oral and Maxillofacial Surgery and Oral Medicine, Faculty of Odontology, Malmö University, Carl Gustafs väg 34, Malmö, SE-214 21, Sweden. bruno.chrcanovic@mau.se.
Pyodermatitis-pyostomatitis vegetans (PSV) is a rare condition linked to inflammatory bowel disease (IBD). Diagnosis is aided by specific oral lesion appearance, IBD presence, microscopic findings, and eosinophilia, though management lacks a gold standard.
Area of Science:
- Dermatology
- Gastroenterology
- Oral Medicine
Background:
- Pyodermatitis-pyostomatitis vegetans (PPV) is a rare mucocutaneous disease.
- It is characterized by pustules and serves as a marker for inflammatory bowel disease (IBD).
- Oral manifestations are termed pyostomatitis vegetans (PSV).
Conclusions:
- No established gold standard or therapeutic protocol for PSV exists.
- Management involves corticosteroids, antirheumatics, immunosuppressives, and antibiotics.
- High risk of oral lesion recurrence upon dose reduction or discontinuation.
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