Pyodermatitis vegetans after total colectomy

Indian Dermatology Online Journal
Tuğba Kevser UzunçakmakBengü Çobanoğlu

Abstract

Pyostomatitis-pyodermatitis vegetans (PPV) is a rare dermatological manifestation of inflammatory bowel disease, characterized by erythematous, vesiculopustular, exudative, annular, and/or vegetating plaques over the intertriginous regions that may precede or appear at the same time as the mucosal lesions. Systemic corticosteroids, dapsone, sulfasalazine, azathioprine, cyclosporine, and subtotal/total colectomy are the most common treatment options. A 16-year-old male patient presented to our outpatient clinic with a four months history of thickly crusted erosions on his trunk, back, and lower extremity. He had ulcerative colitis for four years and total colectomy was done seven months ago. Clinical and histopathological examination of his lesions were consistent with pyostomatitis vegetans. Although subtotal/total colectomy has been reported as a treatment option for PPV, lesions reappeared three months after total colectomy in our patient.

References

Oct 4, 2005·Clinical and Experimental Dermatology·M KonstantopoulouA W Macfarlane
Jun 5, 2008·Dermatology : International Journal for Clinical and Investigative Dermatology·Masahito YasudaSatoru Yamaguchi
Jul 24, 2010·The Journal of Dermatology·Asuka KitayamaYutaka Narisawa
Apr 20, 2011·Case Reports in Dermatology·Filiz CanpolatFatma Eskioğlu
Nov 10, 2012·The American Journal of the Medical Sciences·Hongmei WangChun Liu

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Citations

Oct 17, 2017·BMJ Case Reports·James KeitleyHelen Young

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Methods Mentioned

BETA
biopsy

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