A case of vegetative pyoderma gangrenosum

被引:4
作者
Jin, Yan [1 ,2 ]
Qu, Caijie [2 ]
Shi, Tongxin [3 ]
Wang, Changyuan [2 ]
Yu, Haiyang [2 ]
Zhang, Furen [1 ,4 ,5 ,6 ,7 ]
机构
[1] Shandong Univ, Shandong Prov Hosp Skin Dis, Jinan 250100, Shandong, Peoples R China
[2] Qingdao Municipal Hosp, Dept Dermatol, Qingdao, Shandong, Peoples R China
[3] Qingdao Univ, Dept Dermatol, Affiliated Hosp, Qingdao 266071, Shandong, Peoples R China
[4] Shandong Prov Inst Dermatol & Venereol, Prov Acad Med Sci, Jinan 250022, Shandong, Peoples R China
[5] Shandong Prov Hosp Skin Dis, Jinan, Shandong, Peoples R China
[6] Shandong Prov Key Lab Dermatovenereol, Jinan, Shandong, Peoples R China
[7] Shandong Prov Med Ctr Dermatovenereol, Jinan, Shandong, Peoples R China
关键词
gangrenosum; pyoderma; vegetative form; SUPERFICIAL GRANULOMATOUS PYODERMA; FACE;
D O I
10.1016/j.dsi.2014.12.009
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
A 55-year-old Chinese man presented with a 17-month history of pustules, papules, nodules, plaques, and ulcers involving most of his body, including the scalp, face, neck, trunk, and extremities. Several superficial ulcers with vegetative exophytic margins and plaques were also present. Cribriform sinuses were on the plaque surfaces and ulcer bases. Pus discharged under pressure. C-reactive protein level was 120.07 mg/dL, with the erythrocyte sedimentation rate at 95 mm/h. Repeated smears and cultures were negative. Forearm incisional biopsy showed pseudoepitheliomatous hyperplasia and diffuse neutrophilic infiltration with microabscesses. Vegetative pyoderma gangrenosum was diagnosed. Lesions markedly abated after systemic corticosteroid therapy. Copyright (C) 2015, Taiwanese Dermatological Association. Published by Elsevier Taiwan LLC. All rights reserved.
引用
收藏
页码:170 / 172
页数:3
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