RT Journal Article
SR Electronic
T1 Disfiguring facial pyoderma vegetans with an excellent outcome
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr-2017-220779
DO 10.1136/bcr-2017-220779
VO 2017
A1 Keitley, James
A1 Griffin, Liezel
A1 Motta, Luisa
A1 Ferguson, Janice
A1 Young, Helen
YR 2017
UL http://casereports.bmj.com/content/2017/bcr-2017-220779.abstract
AB We describe a case of disfiguring facial pyoderma vegetans in order to highlight the challenges in managing this rare skin condition and review the literature.A 54-year-old woman presented to dermatology clinic with a 3-month history of a left-sided facial lesion, which had been treated as an infected sebaceous cyst. The lesion had dramatically increased in size in the weeks prior to presentation. There was a history of Crohn’s disease and ileal adenocarcinoma, both of which were in remission. A clinical diagnosis of pyoderma vegetans was made and the patient responded well to immunosuppressive therapy with oral ciclosporin. Carbon dioxide (CO2) laser resurfacing to residual scarring contributed to an excellent cosmetic result.