Superficial granulomatous pyoderma: successful treatment with minocycline

Superficial granulomatous pyoderma accompanied with ulcerative colitis successfully treated with tacrolimus ointment

“…They concluded that SGP is a localized vegetative form of PG. To date, no more than 60 cases of SGP have been reported 2–6 . Clinically, SGP lesions tend to occur on the trunk more than the extremities and may demonstrate Koebner’s phenomenon occurring at the site of trauma 1 .…”

Superficial Granulomatous Pyoderma: A Case in an 11-Year-Old Girl and Review of the Literature

“…Antimicrobials such as minocycline, tetracycline, and sulfa drugs have been used most commonly and with the most success (1,2). More recently, minocycline has been used most commonly (7,12,14,17) and was successful in the treatment of our patient. Intralesional and oral corticosteroids also have been used with some success, but they are less reliable than antimicrobials when used as monotherapy (1).…”

“…Lesions of SGP most commonly involve the trunk, although other locations such as the face, extremities, and scrotum have been described (1,8,9,11,15). Involvement of prior surgical sites has also been described, consistent with the pathergy that can be seen in this disorder (1,2,5,12). Although some patients have been described to have multiple lesions (1,14,17,18), SGP, in contrast to PG, usually presents as a single lesion that enlarges slowly and has a superficial granulomatous clean base with vegetative borders (3).…”

“…In contrast to PG, SGP is not routinely associated with any underlying disorders. Nonetheless, several of the previously reported patients had coexisting diseases: each with chronic lymphocytic leukemia, polymyalgia, IgA paraproteinemia, sarcoidosis, possible rheumatoid arthritis, and definite rheumatoid arthritis with Sjögren syndrome (1,12,13). Unlike PG, inflammatory bowel disease has not been reported in association with SGP.…”

Progressive annular verrucous erosive plaques on the face

“…SPG is usually not associated with systemic diseases, even though some concomitant conditions have been reported . SGP is typically found on the trunk and upper extremities, but involvement of the face and neck can occur in rare cases.…”