PYODERMA VEGETANS DEVELOPED ON CHRONIC LEG ULCER
Abstract
Pyoderma vegetans is a rare disorder that more commonly affects middle-aged persons, with a male predilection. It is characterized by vegetating lesions that coalescence into a plaque with eroded surface, covered by purulent discharge and crusts. The etiology of this disease is not known with certainty, but it is often associated with bacterial infections in immunocompromised patients. We report the case of a 73-year-old men who presented to the Iasi Dermatology Clinic with a large, irregular, relatively well-defined dermohypodermic ulcer, with infiltrated sclerosing borders, accompanied by pain, with the floor covered in the Northern part by a proliferative, vegetative bleeding area, and the rest by a yellowish secretion and cellular debris, located on the left leg. Bacteriological examination of ulcer secretion identified Pseudomonas aeruginosa. Anatomopathological examination confirmed the development of Pyoderma vegetans on chronic leg ulcer. Under specific treatment for chronic leg ulcer and eradication of infectious focus the outcome was favorable both in terms of trophic ulcer scarring and Pyoderma vegetans healing.
References
2. Petrescu Z. Dermatologie si infectii transmise sexual. Editura Junimea, Iasi, 2008.
3. Rook AJ, Wilkinson DS, Ebling FJ. et al. Textbook of Dermatology, Seventh edition, Blackwell Pub-lishing, USA, 2004.
4. Boyd AS, Zemtsov A. A case of Pyoderma vegetans and the follicular occlusion triad. J Dermatol 1992; 19(1): 61-63.
5. Adișen E, Tezel F, Gȕrer M. Pyoderma vegetans: a case for discussion. Acta Derm Venereol 2009; 89 (2): 186-188.
6. Cerullo L, Zussman J, Young L. Un unusual presentation of Blastomycosislike Pyoderma (Pyoderma Vegetans) and a Review of the Literature. Cutis 2009; 84: 201-204.
7. Brunsting LA, Underwood LJ. Pyoderma vegetans in association with chronic ulcerative colitis. Arch Derm Syphilol 1949; 60(2): 161-172.
8. Bianchi L, Carrozzo AM, Orlandi A. Pyoderma vegetans and ulcerative colitis. Br J Dermatol 2001; 144 (6): 1224-1227.
9. Welch KJ, Burke WA, Park HK. Pyoderma vegetans: association with diffuse T cell lymphoma (large cell type). J Am Acad Dermatol 1989; 20(4): 691-693.
10. Brown CS, Kligman AM. Mycosis-like pyoderma. AMA Arch Derm 1957; 75(1): 123-125.
11. Potekaev NS, Jurin OG, Gorbacheva ZS. Pyoderma vegetans as an early sign of HIV infection. Ter Arkh 1991; 63 (11): 78-80.
12. Dutta TK, James J, Barauh MC. Blastomycosis-like pyoderma in a case of chronic myeloid leukaemia. Postgrad Med J 1992; 68(799): 363-365.
13. Follow GA, Mathew J, Lucas S. Cutaneous botryomycosis in a patient with lupus nephritis. Nephrol Dial Transplant 1998; 13(12): 3200-3201.
14. Branisteanu DE. Dermatologia la interfata cu alte specialitati. Editura „Gr. T. Popa”, Iasi, 2014.
15. Brown CS, Kligman AM. Mycosis-like pyoderma. Arch Dermatol 1957; 75: 123-125.
16. Papadopoulos AJ, Schwartz RA, Kapila R. Pyoderma vegetans. J Cutan Med Surg 2001; 5: 223-227.
17. Rieder JM, Moresi JM. Pyoderma vegetans of the penis. J Urol 2004; 171: 354.
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