Pyoderma Vegetans

Author:

Papadopoulos Anthony J.1,Schwartz Robert A.12,Kapila Rajendra3,Samady Joseph A.1,Ruszczak Zbigniew1,Rao Babar K.,Lambert W. Clark12

Affiliation:

1. Dermatology, New Jersey Medical School, Newark, New Jersey

2. Pathology, New Jersey Medical School, Newark, New Jersey

3. Infectious Diseases, New Jersey Medical School, Newark, New Jersey

Abstract

Background: Pyoderma vegetans is a rare condition that is clinically characterized by large verrucous plaques with elevated borders and multiple pustules. The etiology of this disorder remains unknown. Objectives: We describe a 24-year-old woman with rapidly evolving pyoderma vegetans. Our patient had the unique additional findings of a highly elevated serum IgE level and a history of hidradenitis suppurativa. Conclusions: Pyoderma vegetans is diagnosed on clinical and histological criteria. Differentiation must be made from disorders such as pyoderma gangrenosum, Sweet's syndrome, and deep fungal infections. We illustrate a case of pyoderma vegetans and review the literature on this rare disorder. Clinical and histological criteria for diagnosis are presented, as well as differentiation from some mimicking disorders.

Publisher

SAGE Publications

Subject

Dermatology,Surgery

Reference40 articles.

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2. Blastomycosis-like Pyoderma

3. Zilberberg B. Piodermite vegetante de Hallopeau e Penfigo vegetante: Pesquisas experimetais sobre a etiología da Piodermite vegetante de Hallopeau. São Paulo: Empresa Grafica da “Revista Dos Tribunais” S.A., 1960, pp 1–180.

4. PYODERMA VEGETANS IN ASSOCIATION WITH CHRONIC ULCERATIVE COLITIS

5. Pyoderma vegetans: Association with diffuse T cell lymphoma (large cell type)

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1. A Case of Bromoderma Caused by a Commercial Sadative Resulting in a Difficulty for a Diagnosis;Nishi Nihon Hifuka;2020-10-01

2. Skin Infections;Diagnostic Pathology of Infectious Disease;2018

3. Pyoderma Vegetans Misdiagnosed as Verrucous Carcinoma;The American Journal of Dermatopathology;2016-02

4. Four cases of plaque form hidradenitis suppurativa;Journal of the European Academy of Dermatology and Venereology;2015-09-21

5. Pyoderma vegetans in a patient with myelodysplastic syndrome;International Journal of Dermatology;2009-06

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