Genital pyoderma gangrenosum

Bhat, Ramesh M; Saldanha, Celia S; Sukumar, D; Kambil, Srinath M

doi:10.4103/0253-7184.142426

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2022

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“…Few cases of isolated genital PG have been reported with only 4 from India. [ 4 5 6 7 ] Our patient responded well to a combination of therapy with dapsone, colchicine, and oral prednisolone in addition to local wound care. This case is presented to highlight the importance of keeping PG as a differential diagnosis of penile ulcers refractory to usual treatment modalities.…”

Section: Discussionmentioning

confidence: 86%

Pyoderma gangrenosum: An uncommon cause of nonsexually acquired genital ulcer disease

Garg

Himadri

Meena

et al. 2022

Indian J Sex Transm Dis

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Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis affecting various sites, isolated genital PG being an uncommon presentation. We report a case of a 50-year-old diabetic male who presented with 2 penile ulcers. Extensive evaluation was done for sexually and nonsexually transmitted infections, malignancy, drug-induced vasculitis, and immunobullous etiology. A diagnosis of PG was made based on the clinical findings and histopathological exclusion of other causes. The patient showed a rapid response to prednisolone, dapsone, and colchicine. This report highlights the importance of keeping PG as a differential diagnosis in cases of genital ulcers which may mimic other sexually transmitted infections.

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