Pyoderma Vegetans Associated with Ulcerative Colitis: A Case with Good Response to Steroids

Pyoderma vegetans (PV) is a very rare disorder characterized by erythematous, vesiculopustular, exudative, vegetating plaques usually localized in the inguinal and axillary folds. The etiology of PV is not known, but it is often associated with bacterial infections in immunocompromised patients. Maj...

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Main Authors: Filiz Canpolat, Bengü Çevirgen Cemil, Demet Yılmazer, Okan Yeşilli, Fatma Eskioğlu
Format: Article
Language:English
Published: Karger Publishers 2011-03-01
Series:Case Reports in Dermatology
Subjects:
Online Access:http://www.karger.com/Article/FullText/327221
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author Filiz Canpolat
Bengü Çevirgen Cemil
Demet Yılmazer
Okan Yeşilli
Fatma Eskioğlu
author_facet Filiz Canpolat
Bengü Çevirgen Cemil
Demet Yılmazer
Okan Yeşilli
Fatma Eskioğlu
author_sort Filiz Canpolat
collection DOAJ
description Pyoderma vegetans (PV) is a very rare disorder characterized by erythematous, vesiculopustular, exudative, vegetating plaques usually localized in the inguinal and axillary folds. The etiology of PV is not known, but it is often associated with bacterial infections in immunocompromised patients. Major histopathological features in PV are pseudoepitheliomatous hyperplasia and intraepidermal and subepidermal neutrophilic or eosinophilic microabscesses. It is well known that these lesions are frequently associated with inflammatory bowel diseases, such as ulcerative colitis (UC) and Crohn’s disease. No standardized treatment plan is available for PV, although antibiotic treatment has often been used, with variable results. The standard first-line therapy is still systemic steroids. Herein, we report a case of PV associated with UC with unusual localization that showed a good response to systemic corticosteroid, antibiotic and sulfasalazine therapy.
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spelling doaj.art-fc60ff007ca94b1d9ef7f796c9bb173c2022-12-22T03:12:29ZengKarger PublishersCase Reports in Dermatology1662-65672011-03-0131808410.1159/000327221327221Pyoderma Vegetans Associated with Ulcerative Colitis: A Case with Good Response to SteroidsFiliz CanpolatBengü Çevirgen CemilDemet YılmazerOkan YeşilliFatma EskioğluPyoderma vegetans (PV) is a very rare disorder characterized by erythematous, vesiculopustular, exudative, vegetating plaques usually localized in the inguinal and axillary folds. The etiology of PV is not known, but it is often associated with bacterial infections in immunocompromised patients. Major histopathological features in PV are pseudoepitheliomatous hyperplasia and intraepidermal and subepidermal neutrophilic or eosinophilic microabscesses. It is well known that these lesions are frequently associated with inflammatory bowel diseases, such as ulcerative colitis (UC) and Crohn’s disease. No standardized treatment plan is available for PV, although antibiotic treatment has often been used, with variable results. The standard first-line therapy is still systemic steroids. Herein, we report a case of PV associated with UC with unusual localization that showed a good response to systemic corticosteroid, antibiotic and sulfasalazine therapy.http://www.karger.com/Article/FullText/327221Pyodermatitis vegetansUlcerative colitisSteroid
spellingShingle Filiz Canpolat
Bengü Çevirgen Cemil
Demet Yılmazer
Okan Yeşilli
Fatma Eskioğlu
Pyoderma Vegetans Associated with Ulcerative Colitis: A Case with Good Response to Steroids
Case Reports in Dermatology
Pyodermatitis vegetans
Ulcerative colitis
Steroid
title Pyoderma Vegetans Associated with Ulcerative Colitis: A Case with Good Response to Steroids
title_full Pyoderma Vegetans Associated with Ulcerative Colitis: A Case with Good Response to Steroids
title_fullStr Pyoderma Vegetans Associated with Ulcerative Colitis: A Case with Good Response to Steroids
title_full_unstemmed Pyoderma Vegetans Associated with Ulcerative Colitis: A Case with Good Response to Steroids
title_short Pyoderma Vegetans Associated with Ulcerative Colitis: A Case with Good Response to Steroids
title_sort pyoderma vegetans associated with ulcerative colitis a case with good response to steroids
topic Pyodermatitis vegetans
Ulcerative colitis
Steroid
url http://www.karger.com/Article/FullText/327221
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AT demetyılmazer pyodermavegetansassociatedwithulcerativecolitisacasewithgoodresponsetosteroids
AT okanyesilli pyodermavegetansassociatedwithulcerativecolitisacasewithgoodresponsetosteroids
AT fatmaeskioglu pyodermavegetansassociatedwithulcerativecolitisacasewithgoodresponsetosteroids