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Recurrent Vegetative Pyoderma Gangrenosum of the Face: A Case Report
Koreen Blossom T Chan1, Raisa Celine R Rosete1, Claudine Yap Silva1
1Department of Dermatology, Philippine General Hospital, University of the Philippines Manila.
Acta Medica Philippina
|October 21, 2024
Summary
This case study highlights vegetative pyoderma gangrenosum, a rare neutrophilic dermatosis. Prompt systemic corticosteroid treatment effectively resolved painful lesions and scarring.
Area of Science:
- Dermatology
- Pathology
Background:
- Pyoderma gangrenosum (PG) is a rare, destructive neutrophilic dermatosis.
- Atypical presentations of PG can mimic infectious processes.
Observation:
- A 46-year-old male developed recurrent vegetative plaques on his cheeks.
- Lesions presented as painful, erythematous papules progressing to vegetative plaques with cribriform scarring.
- Histopathology showed suppurative dermatitis with neutrophilic infiltrates; cultures were inconclusive.
Findings:
- The patient was diagnosed with vegetative pyoderma gangrenosum based on clinical presentation and response to treatment.
- A negative pathergy test was noted.
- High-dose systemic corticosteroids led to rapid symptom resolution and lesion healing.
Implications:
- This case underscores the importance of considering neutrophilic dermatoses in the differential diagnosis of inflamed, purulent skin lesions.
- Early recognition and appropriate treatment, such as systemic corticosteroids, are crucial for managing vegetative pyoderma gangrenosum.
- Distinguishing PG from infectious etiologies is critical for effective patient management.
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