Blastomycosis-like pyoderma

Su, W. P.

doi:10.1001/archderm.115.2.170

Cited by 23 publications

(10 citation statements)

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“…Because the skin lesions usually occur on the trunk and the groin, the remarkably well-defined, vegetating plaques with elevated borders on fingers and toes in our case seemed to be an unusual clinical presentation. The diagnosis of the disease depends on five criteria which were proposed by Su et al [7]: large verrucous plaques with multiple pustules and elevated border, pseudoepitheliomatous hyperplasia with abscesses in tissue biopsy, growth of at least one pathogenic bacterium, negative culture for deep fungi, atypical mycobacteria or mycobacterium tuberculosis and normal bromide levels. The main pitfall is the risk of clinically misdiagnosing this rare condition.…”

Section: Discussionmentioning

confidence: 99%

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

Canpolat¹,

Cemil²,

Yılmazer

et al. 2011

Case Rep Dermatol

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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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Section: Discussionmentioning

confidence: 99%

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

Canpolat¹,

Cemil²,

Yılmazer

et al. 2011

Case Rep Dermatol

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“…HIV infection [10], malignant tumors, i.e. lymphomas [11], leukemia [12], carcinomas [13], alcoholism, nutritional deficit, diabetes mellitus [14], or therapy with immunosuppressive agents [4], and even in other situations such as bowel inflammatory disease [15, 16], and acne conglobata and follicular occlusion triad [17]. Treatment of this condition is usually very difficult.…”

Section: Discussionmentioning

confidence: 99%

“…To differentiate PV from other cutaneous vegetating disorders, Su et al [13] proposed five criteria for the diagnosis of PV: (1) large verrucous plaques with multiple pustules and elevated border, (2) pseudoepitheliomatous hyperplasia with abscesses in tissue biopsy specimen, (3) growth of at least one pathogenic bacterium, such as S. aureus, beta-hemolytic Streptococci, or Pseudomonas aeruginosa , (4) negative cultures for deep fungi, atypical mycobacteria, or Mycobacterium tuberculosis , and (5) normal bromide blood levels.…”

Section: Discussionmentioning

confidence: 99%

Pyoderma Vegetans Associated with Severe Psoriatic Arthritis: Good Response to Etanercept

Carrera

Mascaró²,

Moreno-Romero³

et al. 2006

Dermatology

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Pyoderma vegetans (PV) is an inflammatory dermatosis, characterized clinically by large exudative vegetating plaques, and histopathologically by epidermal pseudoepitheliomatous hyperplasia and dense inflammatory infiltrates. Although PV is a very rare condition, it is a chronic disorder that may accompany any systemic process that compromises immunity. Treatment is very difficult, and correction of predisposing causes may be useful. We present a 49-year-old woman affected by severe psoriatic arthritis since she was 19, with giant verrucous plaques on her lower limbs that had worsened progressively during the last 15 years. After ruling out other vegetating cutaneous disorders, PV was diagnosed in association with psoriasis. Despite numerous previous systemic and topical therapeutic attempts no response was observed. Etanercept was introduced, which resulted in a marked improvement within 3 weeks. Herein, we report a diagnostic and therapeutic challenge of the first case of PV associated with psoriasis that presented a good response to etanercept.

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“…The disorder is also known as “ blastomycosis-like pyoderma .”[59] It most commonly presents as a verrucous plaque studded with pustules, thus mimicking pyoderma gangrenosum, especially of the vegetans type. When the lesions are localized to the oral mucosa, it is known as “ pyostomatitis vegetans .” Such cases mostly occur in association with IBD.…”

Section: Introductionmentioning

confidence: 99%

Vesicobullous disorders of female genitalia

Garg

Mittal

2012

Indian J Sex Transm Dis

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Blistering over the vulval region can be due to multiple causes, each having nearly a similar presentation. Thus, a thorough understanding of the various etiologies is necessary to make a correct diagnosis. Clinically, there always remains some ambiguity as to the precise diagnosis, thus investigations, such as biopsy, play a very essential role in clinching the correct diagnosis. Most of these disorders are amenable to treatment and thus an early intervention is a must to prevent morbidity associated with these diseases.

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Blastomycosis-like pyoderma

Cited by 23 publications

References 0 publications

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

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

Pyoderma Vegetans Associated with Severe Psoriatic Arthritis: Good Response to Etanercept

Vesicobullous disorders of female genitalia

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